Provider Demographics
NPI:1619065497
Name:LACORTE, WILLIAM ST JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ST JOHN
Last Name:LACORTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:519 METAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-4311
Mailing Address - Country:US
Mailing Address - Phone:504-838-6000
Mailing Address - Fax:504-835-6685
Practice Address - Street 1:519 METAIRIE RD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4311
Practice Address - Country:US
Practice Address - Phone:504-838-6000
Practice Address - Fax:504-835-6685
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA012633207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine