Williams, Samantha Lacour

Williams, Samantha Lacour is an individual health care provider with primary practice located at 443 Heymann Blvd Suite B, Lafayette LA 70503-2630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Williams, Samantha Lacour can be contacted via phone (337) 289-8429.

Contact Information

Primary practice address
443 Heymann Blvd Suite B Lafayette LA 70503-2630
Phone: (337) 289-8429
Fax: (337) 289-8431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP05645 Louisiana

Profile Details

NPI number 1770952798
LBN Legal business name Williams, Samantha Lacour
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Aug 5th, 2016 - about 10 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 1770952798 NPPES
Louisiana MEDICAID 2423819

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