Courtney Lajuan Carmichael, PA-C

NPI #1356867238 in Martin, South Dakota

Provider Information

NPI Number: 1356867238
Entity Type: Individual
Name: Courtney Lajuan Carmichael, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 22, 2017
Last Updated: Aug 22, 2017

Practice Location

Address: 109 PUGH ST
City: Martin
State: South Dakota
ZIP Code: 57551-7700
Phone: (605) 685-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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