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NPI Code Detail

MEDICARE: WILLIAM CRAIG LASEUR LAC

MEDICARE: WILLIAM CRAIG LASEUR LAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1586LA

General Provider Information

NPI Number : 1770274839
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CRAIG LASEUR LAC
Provider Business Mailing Address
First Line : 2329 EDENBORN AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70001-1815
Country : US
Telephone Number : 504-267-9960
Fax Number : 985-273-3869
Provider Business Practice Location Address
First Line : 2329 EDENBORN AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70001-1815
Country : US
Telephone Number : 504-267-9960
Fax Number : 985-273-3869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2023
Last Update Date : 05/18/2023

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Directions to “ WILLIAM CRAIG LASEUR LAC” Practice Location

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