Lacour, Serena
Lacour, Serena is an individual health care provider with primary practice located at 7614 195Th St Sw Ste 101 , Edmonds WA 98026-6260. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lacour, Serena can be contacted via phone (425) 775-4059.Contact Information
Primary practice address
7614 195Th St Sw Ste 101
Edmonds WA 98026-6260
Phone: (425) 775-4059
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1215063045 |
|---|---|
| LBN Legal business name | Lacour, Serena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Mar 27th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215063045 | NPPES |
| California | MEDICAID | 1306922554 | |
| California | MEDICAID | 1841342318 | |
| California | MEDICAID | 1265520183 |
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