| Kathi Lacourt Md Pllc | |
|
6801 E Gelding Dr Scottsdale AZ 85254-8525 | |
| (480) 678-1414 | |
| Not Available |
| Full Name | Kathi Lacourt Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6801 E Gelding Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Catherine Lynette Lacourt (PHYSICIAN) |
| Authorized Official Contact | 6026758668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathi Lacourt Md Pllc 6501 E Greenway Pkwy Ste 103-648 Scottsdale AZ 85254 Ph: (602) 675-8668 | Kathi Lacourt Md Pllc 6801 E Gelding Dr Scottsdale AZ 85254-8525 Ph: (480) 678-1414 |
| NPI Number | 1104595123 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 9931593647 |
|---|---|
| Medicare Enrollment ID | O20220223000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104595123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Catherine Lacourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942232988 PECOS PAC ID: 8123080637 Enrollment ID: I20050923000304 |
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