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Fred Lacourt, DDS
NPI 1407925803 · on the registry since 2006
Practice
- Address
- 2505 N Mayfair Rd
#103
Wauwatosa, WI 53226 - Phone
- (414) 258-2117
- Fax
- (414) 258-4177
- Organisation at this address
- Blessed Healthcare
Blessed Babies Llc.
Generations Family Dental
Badger Vision Center, Llc
Myeyedr Optometry Of Wisconsin, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin