Provider Demographics
NPI:1073408258
Name:LACOUTURE, ROSE CATHERINE (LAC)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:CATHERINE
Last Name:LACOUTURE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:CATHERINE
Other - Last Name:LACOUTURE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:19 FOLSOM ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3600
Mailing Address - Country:US
Mailing Address - Phone:207-219-3013
Mailing Address - Fax:
Practice Address - Street 1:14 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2911
Practice Address - Country:US
Practice Address - Phone:603-686-8069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH363171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist