Provider Demographics
NPI:1982855961
Name:LACOUR, MEGAN BETH (LMT)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:BETH
Last Name:LACOUR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8748 QUARTERS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2198
Mailing Address - Country:US
Mailing Address - Phone:225-928-8686
Mailing Address - Fax:
Practice Address - Street 1:8748 QUARTERS LAKE RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2198
Practice Address - Country:US
Practice Address - Phone:225-928-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA2914175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath