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Individual

DR. VICTOR C LACOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
7459 KEITH DR, MC CALLA, AL 35111-3337
(205) 902-9051
Mailing address
7459 KEITH DR, MCCALLA, AL 35111
(205) 477-5200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S552
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000058483
AL
01
3551058483
BC BS
Enumeration date
11/27/2006
Last updated
11/08/2018
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