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Matthew Dale Lacour
Student in an Organized Health Care Education/Training Program in Brooksville, Florida
NPI 1629538632

Matthew Dale Lacour is a Student in an Organized Health Care Education/Training Program based in Brooksville, FL. Matthew Dale Lacour practices in Brooksville, FL. The NPI Number for Matthew Dale Lacour is 1629538632 and holds a License No. (Florida).

The current practice location address for Matthew Dale Lacour is 11375 Cortez Blvd, Brooksville, FL and can be reached out via phone at 352-592-2753 and via fax at 352-591-6317.

Location: 11375 Cortez Blvd, Brooksville, FL, 34613-5409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629538632
Provider Name
Matthew Dale Lacour
Credential
Provider Entity Type
Individual
Gender
Male
Address
11375 Cortez Blvd, Brooksville, FL, 34613-5409
Phone Number
352-592-2753
Fax Number
352-591-6317
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11375 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5409
Phone Number
352-592-2753
Fax Number
352-591-6317
person
Provider Business Mailing Address Details
Address
11375 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5409
Phone Number
352-592-2753
Fax Number
352-591-6317
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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