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NPI Code Detail

MEDICARE: ELISE LOVISA COUTURIER

MEDICARE:   ELISE LOVISA COUTURIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist4901005955MI

General Provider Information

NPI Number : 1871421347
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE LOVISA COUTURIER
Provider Business Mailing Address
First Line : 120 MARCELL DR NE STE A
Second Line :
City : ROCKFORD
State : MI
Zip : 49341-1362
Country : US
Telephone Number : 616-866-0140
Fax Number : 616-866-8694
Provider Business Practice Location Address
First Line : 120 MARCELL DR NE STE A
Second Line :
City : ROCKFORD
State : MI
Zip : 49341-1362
Country : US
Telephone Number : 616-866-0140
Fax Number : 616-866-8694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 06/10/2026

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Directions to “ ELISE LOVISA COUTURIER ” Practice Location

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