Matthew Dale Lacour is a student in an organized health care education training program in Brooksville, FL. The provider is 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. Matthew Dale Lacour NPI is 1629538632. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
11375 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-409
Phone: (352) 592-2753
Fax: (352) 591-6317
The NPI 1629538632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/25/2019 and was last updated on 3/25/2019.