Individual
LUDOVIC M LASQUETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5147 N 9TH AVE, STE. 203, PENSACOLA, FL 32504-8771
(850) 476-6110
(850) 479-6042
Mailing address
5147 N 9TH AVE, STE. 203, PENSACOLA, FL 32504-8771
(850) 476-6110
(850) 479-6042
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME81571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009933731
AL MEDICAID
AL
01
—
262663200
MEDICAID
FL
01
—
58811
BLUE CROSS BLUE SHIELD
FL
01
—
59068247LAS
BCBS AL
AL
Enumeration date
02/09/2006
Last updated
01/31/2012
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