Individual
DR. JASON C LACOURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 412-6027
Mailing address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 412-6027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7735000-9921
UT
Other
Enumeration date
10/10/2011
Last updated
05/28/2025
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