Alan Daniel Lacoste, MD | |
1767 Imperial Blvd, Lake Charles, LA 70605-5362 | |
(337) 478-3810 | |
(337) 478-6360 |
Full Name | Alan Daniel Lacoste |
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Gender | Male |
Speciality | Ophthalmology |
Location | 1767 Imperial Blvd, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275515165 | NPI | - | NPPES |
1187887 | Medicaid | LA | |
180011357 | Other | LA | RAILROAD MEDICARE |
720680677011 | Other | LA | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 13078 (Louisiana) | Primary |
Entity Name | Eye Clinic A Professional Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619915121 PECOS PAC ID: 0941101307 Enrollment ID: O20040119000122 |
Mailing Address | Practice Location Address |
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Alan Daniel Lacoste, MD 1767 Imperial Blvd, Lake Charles, LA 70605-5362 Ph: (337) 478-3810 | Alan Daniel Lacoste, MD 1767 Imperial Blvd, Lake Charles, LA 70605-5362 Ph: (337) 478-3810 |
Margaret Young Carter, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1717 Oak Park Blvd, #1, Lake Charles, LA 70601 Phone: 337-478-3810 | |
Dr. Don Alan Bravin, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 Fax: 337-478-6360 | |
Brian Mikulla, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1980 Tybee St, Lake Charles, LA 70605 Phone: 337-477-0963 Fax: 337-477-1912 | |
Gerard Guidry, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061 | |
Dr. Larry Don Stewart, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 Fax: 337-478-6360 | |
Marcy L. Hanudel, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 |