Organization
COMPASSIO LLC
Active
Other names
Compassio Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LACOUR MD (OWNER)
(919) 724-7015
Entity
Organization
Contact information
Practice address
616 S JAHNCKE AVE, COVINGTON, LA 70433-3719
(919) 724-7015
Mailing address
616 S JAHNCKE AVE, COVINGTON, LA 70433-3719
(919) 724-7015
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
03/25/2021
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