Individual
MARTIN LACOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
352 HOSPITAL BOULEVARD, PINEVILLE, LA 71361-5352
(318) 448-0811
(318) 767-5344
Mailing address
5115 WINDERMERE BLVD, ALEXANDRIA, LA 71303-2487
(318) 445-4024
(318) 767-5344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
704395
TX
367500000X
Certified Registered Nurse Anesthetist
704395
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN060064 AP03067
LA
Other
Enumeration date
11/03/2006
Last updated
01/17/2009
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