Fred A Lacourt in Wauwatosa - General Practice
Fred A Lacourt - NPI 1407925803
Fred A Lacourt is a General Practice in Wauwatosa, Wisconsin. Fred A Lacourt practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fred A Lacourt is 1407925803. The last update date is 2007-07-08.
Fred A Lacourt's current location address is 2505 N Mayfair Rd, Wauwatosa, Wisconsin. You can contact this provider via phone number 4142582117 and fax number 4142584177. The mailing address for Fred A Lacourt is 2505 N Mayfair Rd, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred A Lacourt |
|---|---|
| Address | 2505 N Mayfair Rd, Wauwatosa, Wisconsin |
| Phone Number | 4142582117 |
| Fax Number | 4142584177 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407925803 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2505 N Mayfair Rd |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 53226 |
| Phone Number | 4142582117 |
| Fax Number | 4142584177 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3547WI |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 690859 | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the unique identifier code issued to Fred A Lacourt by the Centers for Medicare & Medicaid Services?
The Fred A Lacourt has been assigned the NPI (National Provider Identifier) 1407925803. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Fred A Lacourt's facilities are geographically located?
The facilities of Fred A Lacourt are physically situated at the following location: 2505 N Mayfair Rd, Wauwatosa, WI, 53226.
What is Fred A Lacourt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fred A Lacourt is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407925803 to Fred A Lacourt?
The Fred A Lacourt received its 1407925803 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.
When was the information regarding Fred A Lacourt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fred A Lacourt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.