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NPI Code Detail

MEDICARE: DR. VICTOR C LACOUR OD

MEDICARE:  DR. VICTOR C LACOUR  OD
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
1152W00000XOptometristS552AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23551058483OTHERBC BS

General Provider Information

NPI Number : 1649346446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTOR C LACOUR OD
Provider Business Mailing Address
First Line : 7459 KEITH DR
Second Line :
City : MCCALLA
State : AL
Zip : 35111
Country : US
Telephone Number : 205-477-5200
Fax Number :
Provider Business Practice Location Address
First Line : 7459 KEITH DR
Second Line :
City : MC CALLA
State : AL
Zip : 35111-3337
Country : US
Telephone Number : 205-902-9051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 11/08/2018

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Directions to “ DR. VICTOR C LACOUR OD” Practice Location

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