Individual
MARCEL LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BOX 89, RURAL ROUTE 3, LARNED, KS 67550-0089
(620) 285-4576
Mailing address
BOX 89, RURAL ROUTE 3, LARNED, KS 67550-0089
(620) 285-4576
(620) 285-4579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0800275
KS
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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