Provider Demographics
NPI:1952729840
Name:PITRE, LAUREN LACOSTE (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:LACOSTE
Last Name:PITRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:LACOSTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:144 W 134TH PL
Mailing Address - Street 2:
Mailing Address - City:CUT OFF
Mailing Address - State:LA
Mailing Address - Zip Code:70345-4128
Mailing Address - Country:US
Mailing Address - Phone:985-632-6233
Mailing Address - Fax:985-632-7526
Practice Address - Street 1:144 W 134TH PL
Practice Address - Street 2:
Practice Address - City:CUT OFF
Practice Address - State:LA
Practice Address - Zip Code:70345-4128
Practice Address - Country:US
Practice Address - Phone:985-632-6233
Practice Address - Fax:985-632-7526
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA307601207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine