Individual
AIMEE LACOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 MARGUERITE BLVD, LAFAYETTE, LA 70503-3133
(337) 962-3580
Mailing address
307 MARGUERITE BLVD, LAFAYETTE, LA 70503-3133
(337) 962-3580
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
95079
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95079
BON
LA
Enumeration date
10/01/2021
Last updated
10/01/2021
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