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Individual

VINCENT BRYAN LOCOCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 11TH ST NE, SPRINGHILL, LA 71075-4503
(318) 539-1701
Mailing address
106 TRI STATE DR, SAREPTA, LA 71071-2826
(318) 994-2266
(318) 539-9177

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021984
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143688001
AR
05
1999814
LA
Enumeration date
07/03/2006
Last updated
05/20/2021
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