Individual
KEVIN M LACOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5400 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-5927
(770) 921-6606
(770) 921-6919
Mailing address
5400 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-5927
(770) 921-6606
(770) 921-6919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013266
GA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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