Individual
DR. JEREMY LACOCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8000
Mailing address
1001 POTRERO AVE, DEPARTMENT OF EMERGENCY MEDICINE, 6A, SAN FRANCISCO, CA 94110
(628) 206-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A17180
CA
Other
Enumeration date
05/04/2015
Last updated
02/29/2020
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