Robert Lacoste

NPI 1689618076 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1689618076
Gender Male
Enumeration Date 06/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
26811 RYAN RD
WARREN MI, 48091-4075, US
Phone (586) 755-4433
Fax (586) 755-6655
Business Location
26811 RYAN RD
WARREN MI, 48091-4075, US
Phone (586) 755-4433
Fax (586) 755-6655
Toxanomy
Taxonomy Code 2084P0800X
License State Michigan
License Number 4301050294
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According to our database, Robert Lacoste NPI is 1689618076, taxonomy code is 2084P0800X and license number is 4301050294, license state is located at Michigan. Robert Lacoste physically located at 26811 Ryan Rd, Warren MI, 48091-4075. NPI Number Robert Lacoste has the Individual type.

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1689618076 NPI number is provided on an as is basis without warranty of any kind. 1689618076 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Lacoste are for informational purposes only.