Henry Neil Lacoursiere | Boise, ID • PECOS Search

Henry Neil Lacoursiere

Chiropractor

Chiropractic Providers

1625 W State St Ste 100, Boise, ID 83702-4003

PECOS Enrollment

Based on the most recent information from CMS, provider Henry Neil Lacoursiere does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1194586602
Provider Type
Individual
Full Name
Lacoursiere, Henry Neil
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
1/22/2024
Last Updated
3/20/2024

Contact Information

Practice Location

1625 W State St Ste 100, Boise, ID 83702-4003

Unlisted Fax

Mailing Location

1625 W State St Ste 100, Boise, ID 83702-4003

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CHIA-2392 Idaho