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Individual

EDMUND GERARD LACOUR

Active
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Individual

EDMUND GERARD LACOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
00016999
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017489
TRICARE
AL
01
051516047
BCBS
AL
05
51553686
AL
Enumeration date
05/24/2006
Last updated
01/24/2012
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