Organization
GENERATIONS FAMILY DENTAL CARE-RANDOM LAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED LACOURT DDS, FAGD (MANAGER)
(414) 258-2117
Entity
Organization
Contact information
Practice address
37 HICKORY DR, RANDOM LAKE, WI 53075-1675
(920) 994-4367
Mailing address
2505 N MAYFAIR RD, SUITE 103, WAUWATOSA, WI 53226-1404
(414) 258-2117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us