Provider Demographics
NPI:1316525231
Name:LETITIA A LACOUR, DDS, LLC
Entity type:Organization
Organization Name:LETITIA A LACOUR, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LETITIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LACOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:985-542-6855
Mailing Address - Street 1:1008 W THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-3040
Mailing Address - Country:US
Mailing Address - Phone:985-542-6855
Mailing Address - Fax:985-542-6656
Practice Address - Street 1:1008 W THOMAS ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-3040
Practice Address - Country:US
Practice Address - Phone:985-542-6855
Practice Address - Fax:985-542-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1336589530OtherNPI