Lacossiere, Kenson

Lacossiere, Kenson is an individual health care provider with primary practice located at 200 Se Hospital Ave , Stuart FL 34994-2346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Lacossiere, Kenson can be contacted via phone (772) 223-5618.

Contact Information

Primary practice address
200 Se Hospital Ave Stuart FL 34994-2346
Phone: (772) 223-5618
Fax: (772) 288-5834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME114403 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME114403 Florida

Profile Details

NPI number 1255576286
LBN Legal business name Lacossiere, Kenson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2008
Last updated Mar 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255576286 NPPES
Florida Other 14P0S FLORIDA BLUE
Florida MEDICAID 007816400 FLORIDA BLUE

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