Provider Demographics
NPI:1427410687
Name:LACASSE, NICOLE DAWN GARCIA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:DAWN GARCIA
Last Name:LACASSE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:DAWN
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:3917 SPRING GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-3302
Mailing Address - Country:US
Mailing Address - Phone:513-357-7600
Mailing Address - Fax:
Practice Address - Street 1:3917 SPRING GROVE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-3302
Practice Address - Country:US
Practice Address - Phone:513-357-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.135583208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics