Provider Demographics
NPI:1578443842
Name:AP LECOURT MD, INC
Entity type:Organization
Organization Name:AP LECOURT MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AMARATEEDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LECOURT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-612-6089
Mailing Address - Street 1:1702 BLACKBIRD CIR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-5008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1702 BLACKBIRD CIR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-5008
Practice Address - Country:US
Practice Address - Phone:727-612-6089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty