Ketrick Lonie Lacoste
Ketrick Lonie Lacoste is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
655 W 8th St # C126Jacksonville, FL 32209-6511
Phone: (904) 244-5946
Fax: (904) 244-3957
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1215514898 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 28, 2021 |
| Last updated in NPPES | March 28, 2021 |
| Certification date | March 28, 2021 |
| Mailing address | 655 W 8th St # C126, Jacksonville, FL 32209-6511 |
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