Joshua Matthew Lacroute, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC150508 Issued in OR

Practice address

505 NW 9TH Ave
Portland, OR 97209-3578

Phone

(503) 477-4399

Fax

(503) 477-9197

NPI assigned

Mar 14, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Joshua M Lizotte Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1922306034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NW 9TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093578",
            "telephone_number": "503-477-4399",
            "fax_number": "503-477-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NW 9TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093578",
            "telephone_number": "503-477-4399",
            "fax_number": "503-477-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROUTE",
        "first_name": "JOSHUA",
        "middle_name": "MATTHEW",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "LIZOTTE",
            "middle_name": "M",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas Michael Lackowski, M.D.
• Allyn William Lacombe Jr.
• Peggy Lacombe, CADCII
• Andrea Lacourse, OTR/L
• Lacroute Natural Medicine, Inc.
• Nathalie Sabine Lacroute, N.D.
• Lacuna Collective LLC
• John Lacy
• Meghan Louise Lacy, PNP
• Phillip C Lacy, CPHT

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.