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NPI Code Detail

MEDICARE: LETITIA A LACOUR, DDS, LLC

MEDICARE: LETITIA A LACOUR, DDS, LLC
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
11223P0221XPediatric Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11336589530OTHERLANPI

General Provider Information

NPI Number : 1316525231
Entity Type Code : Organization
Provider Name (Legal Business Name) : LETITIA A LACOUR, DDS, LLC
Provider Business Mailing Address
First Line : 1008 W THOMAS ST
Second Line :
City : HAMMOND
State : LA
Zip : 70401-3040
Country : US
Telephone Number : 985-542-6855
Fax Number : 985-542-6656
Provider Business Practice Location Address
First Line : 1008 W THOMAS ST
Second Line :
City : HAMMOND
State : LA
Zip : 70401-3040
Country : US
Telephone Number : 985-542-6855
Fax Number : 985-542-6656
Authorized Official
Title or Position : OWNER
Name : DR. LETITIA A LACOUR
Credential : DDS
Telephone Number : 985-542-6855
Provider Enumeration Date : 03/31/2021
Last Update Date : 03/31/2021

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Directions to “LETITIA A LACOUR, DDS, LLC ” Practice Location

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