Lawrence Edward Koussa in Tucson - General Practice
Lawrence Edward Koussa - NPI 1629083027
Lawrence Edward Koussa is a General Practice in Tucson, Arizona. Lawrence Edward Koussa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lawrence Edward Koussa is 1629083027. The last update date is 2007-08-29.
Lawrence Edward Koussa's current location address is 2102 N Country Club Rd Ste C, Tucson, Arizona. You can contact this provider via phone number 5203276269 and fax number 5203276632. The mailing address for Lawrence Edward Koussa is 2102 N Country Club Rd Ste C, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Edward Koussa |
|---|---|
| Address | 2102 N Country Club Rd Ste C, Tucson, Arizona |
| Phone Number | 5203276269 |
| Fax Number | 5203276632 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629083027 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 2102 N Country Club Rd Ste C |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857162831 |
| Phone Number | 5203276269 |
| Fax Number | 5203276632 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3782 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Lawrence Edward Koussa by the Centers for Medicare & Medicaid Services (CMS)?
The Lawrence Edward Koussa has been assigned the NPI (National Provider Identifier) 1629083027. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Lawrence Edward Koussa is physically located?
The Lawrence Edward Koussa is physically situated at the following address: 2102 N Country Club Rd Ste C, Tucson, AZ, 857162831.
What is Lawrence Edward Koussa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lawrence Edward Koussa is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629083027 to Lawrence Edward Koussa?
The Centers for Medicare & Medicaid Services assigned the 1629083027 to Lawrence Edward Koussa on 2006-07-31.
When was the information regarding Lawrence Edward Koussa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lawrence Edward Koussa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-29.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX