Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | LA2914 | LA |
NPI | 1982855961 |
---|---|
Provider Name | Ms. Megan Beth Lacour |
First Address | Baton Rouge, LA 70809-2198 |
Second Address | Baton Rouge, LA 70809-2198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 08/10/2008 |