Organization
DR VICTOR C LACOUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR C. LACOUR O.D. (OWNER)
(205) 902-9051
Entity
Organization
Contact information
Practice address
1800 MCFARLAND BLVD E, SUITE 405, TUSCALOOSA, AL 35401
(205) 902-9051
(205) 477-0402
Mailing address
7459 KEITH DR, MCCALLA, AL 35111
(205) 902-9051
(205) 477-0402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-552-TA752
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058483
—
AL
01
—
51065534
BC/BS
AL
Enumeration date
05/25/2010
Last updated
03/11/2011
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