Lacoste, Robert

Lacoste, Robert is an individual health care provider with primary practice located at 26811 Ryan Rd , Warren MI 48091-4075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lacoste, Robert can be contacted via phone (586) 755-4433.

Contact Information

Primary practice address
26811 Ryan Rd Warren MI 48091-4075
Phone: (586) 755-4433
Fax: (586) 755-6655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301050294 Michigan

Profile Details

NPI number 1689618076
LBN Legal business name Lacoste, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689618076 NPPES
Michigan MEDICAID 4290885

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