Individual
ALLEN J LACOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
(225) 930-7524
Mailing address
PO BOX 1608, KENNER, LA 70063-1608
(225) 922-7961
(225) 930-7524
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.016642
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350508
—
LA
Enumeration date
05/22/2006
Last updated
12/30/2020
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