Individual provider · Type 1 NPI

Ketrick Lonie Lacoste

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1215514898 Active

Practice location

655 W 8th St # C126
Jacksonville, FL 32209-6511

Call (904) 244-5946 Map

Fax (904) 244-3957

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215514898

Ketrick Lonie Lacoste's National Provider Identifier is 1215514898, issued on Mar 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 28, 2021.