Individual
MR. GEORGE H LACOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR, CHT
Contact information
Practice address
3347 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 443-3311
(318) 443-0023
Mailing address
3347 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 443-3311
(318) 443-0023
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
Z11737
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z11737
OT LICENSE
LA
Enumeration date
06/22/2006
Last updated
07/08/2007
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