Individual
DR. JEROLD EZRA LANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, SUITE C-500, DALLAS, TX 75230-2505
(972) 566-6366
(972) 392-2011
Mailing address
7777 FOREST LN, SUITE C-500, DALLAS, TX 75230-2505
(972) 566-6366
(972) 392-2011
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
HOO77
TX
Other
Enumeration date
05/14/2006
Last updated
10/27/2008
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