Organization
LACOUR DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD A LACOUR DDS (DOCTOR)
(225) 757-8450
Entity
Organization
Contact information
Practice address
719 E AIRPORT AVE, #A, BATON ROUGE, LA 70806-6558
(225) 924-3369
(225) 924-3387
Mailing address
719 E AIRPORT AVE, #A, BATON ROUGE, LA 70806-6558
(225) 924-3369
(225) 924-3387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2798
LA
122300000X
Dentist
Primary
5037
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29635
—
LA
Enumeration date
05/06/2015
Last updated
05/06/2015
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