Kevin M. Lacour, Dds, Pc | |
5400 Lawrenceville Hwy Nw Ste D Lilburn GA 30047-5956 | |
(770) 921-6606 | |
(770) 921-6919 |
Full Name | Kevin M. Lacour, Dds, Pc |
---|---|
Speciality | Dentist |
Location | 5400 Lawrenceville Hwy Nw Ste D, Lilburn, Georgia |
Authorized Official Name and Position | Kevin M Lacour (OWNER) |
Authorized Official Contact | 7709216606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kevin M. Lacour, Dds, Pc 5400 Lawrenceville Hwy Nw Ste D Lilburn GA 30047-5956 Ph: (770) 921-6606 | Kevin M. Lacour, Dds, Pc 5400 Lawrenceville Hwy Nw Ste D Lilburn GA 30047-5956 Ph: (770) 921-6606 |
NPI Number | 1568013555 |
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Provider Enumeration Date | 09/23/2019 |
Last Update Date | 09/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568013555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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