JONATHAN LANCOURT

Pharmacist

Active Individual
NPI: 1962810259

Practice Address

900 E MAIN ST
Waterford, WI 53185

Phone: (262) 514-4290

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 17557-40 (WI)

Frequently Asked Questions

NPI 1962810259 is the National Provider Identifier for JONATHAN LANCOURT, a Pharmacist provider located in Waterford, WI. This NPI was enumerated on July 30, 2014.
JONATHAN LANCOURT practices at 900 E MAIN ST, Waterford, WI 53185.

Quick Facts

NPI
1962810259
Type
Individual
Enumerated
Jul 30, 2014
Last Updated
Feb 14, 2016

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