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Individual

ALEISHA S LACOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
832507
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
318801301
TX
05
318801302
TX
Enumeration date
02/20/2013
Last updated
08/31/2020
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