DR. Jason C Lacourse, DMD
NPI #1134403009 in Fort Campbell, Kentucky
Provider Information
- NPI Number
- 1134403009
- Entity Type
- Individual
- Name
- DR. Jason C Lacourse, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Oct 10, 2011
- Last Updated
- May 28, 2025
Practice Location
- Address
- 2441 21ST ST
- City
- Fort Campbell
- State
- Kentucky
- ZIP Code
- 42223-5582
- Phone
- (270) 412-6027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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