Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mya Ann Lacourse

Individual provider Physician Assistant · NPI 1689432155

Mya Ann Lacourse is a Physician Assistant in Marietta, Ohio. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

215 5th St
Marietta, OH 45750-4033
Phone: (740) 376-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1689432155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 19, 2024
Mailing address215 5th St, Marietta, OH 45750-4033

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