William St John Lacorte, Pmc | |
519 Metairie Rd Ste 100 Metairie LA 70005 | |
(504) 838-6000 | |
(504) 835-6685 |
Full Name | William St John Lacorte, Pmc |
---|---|
Speciality | Internal Medicine |
Location | 519 Metairie Rd, Metairie, Louisiana |
Authorized Official Name and Position | William S Lacorte (OWNER) |
Authorized Official Contact | 5048386000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
William St John Lacorte, Pmc Po Box 55336 Metairie LA 70055-5336 Ph: (504) 838-6000 | William St John Lacorte, Pmc 519 Metairie Rd Ste 100 Metairie LA 70005 Ph: (504) 838-6000 |
NPI Number | 1053324566 |
---|---|
Provider Enumeration Date | 08/14/2006 |
Last Update Date | 03/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053324566 | NPI | - | NPPES |
1524022370 | Other | LA | BCBS OF LA |
1944556 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 012633 (Louisiana) | Primary |
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