Individual provider · Type 1 NPI

Courtney Nicoll Laroque

Other Technician · Grand Rapids, MI

NPI number 1194484006 Active

Practice location

120 Stevens St SW
Grand Rapids, MI 49507-1526

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1194484006

Courtney Nicoll Laroque's National Provider Identifier is 1194484006, issued on Dec 8, 2021. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 14, 2021.