| Lacour Family Dentistry East Llc | |
|
175 Hawthorne Park Athens GA 30606-2150 | |
| (706) 353-7860 | |
| Not Available |
| Full Name | Lacour Family Dentistry East Llc |
|---|---|
| Speciality | Dentist |
| Location | 175 Hawthorne Park, Athens, Georgia |
| Authorized Official Name and Position | Kevin Lacour (DENTIST/OWNER) |
| Authorized Official Contact | 6786547454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacour Family Dentistry East Llc 175 Hawthorne Park Athens GA 30606-2150 Ph: (706) 353-7860 | Lacour Family Dentistry East Llc 175 Hawthorne Park Athens GA 30606-2150 Ph: (706) 353-7860 |
| NPI Number | 1619751708 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619751708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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