Individual
DR. JOSEPH ROBERT LACOSTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 C M FAGAN DR, SUITE A, HAMMOND, LA 70401
(985) 345-5888
(985) 345-5088
Mailing address
1432 STILLWATER DR, MANDEVILLE, LA 70471
(985) 674-1486
(985) 674-9256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3427
LA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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