Provider Demographics
NPI:1346282670
Name:COLAS-LACOMBE, MARION F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:F
Last Name:COLAS-LACOMBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NW 82ND AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1853
Mailing Address - Country:US
Mailing Address - Phone:954-472-2201
Mailing Address - Fax:954-472-2501
Practice Address - Street 1:201 NW 82ND AVE STE 104
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1853
Practice Address - Country:US
Practice Address - Phone:954-472-2201
Practice Address - Fax:954-472-2501
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95595207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME95595OtherMEDICAL LISCENSE