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Deactivated NPI 1689887242 Deactivated / Inactive NPI Male Practitioner

Dr. Michael E. Lacourt , DC

Chiropractor • Green Bay, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Lacourt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2007
NPI Deactivation Date January 13, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lacourt, DC was a registered Chiropractor practicing in Green Bay, WI. Throughout an active medical career spanning 14 years, Dr. Lacourt provided care at the practice location at 2514 GLENDALE AVE until profile deactivation on 2021-01-13.

Practice Location & Contact Primary Location

Practice Address

2514 Glendale Ave

Green Bay, WI 543136822

Telephone 9204999828
Fax 9204999828

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.2 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
116 Specialists

Practicing in Green Bay, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 1940

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Tammy Benz-Jeppeson

Massage Therapist

NPI 1508514886

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 13, 2021

Record deactivated on January 13, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2514 GLENDALE AVE, GREEN BAY, WI 543136822 (Tel: 9204999828)

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Updated Business Mailing Address July 08, 2007

Registered at 2514 GLENDALE AVE, GREEN BAY, WI 543136822 (Tel: 9204999828)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL LACOURT, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #1940 in WI)

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Initial NPI Registration & Enumeration May 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689887242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 08, 2007
Deactivation Date: January 13, 2021

Mailing Address

2514 Glendale Ave

Green Bay, WI 543136822

Phone: 9204999828

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.