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Organization
LOUISIANA FOOT AND ANKLE SPECIALISTS LLC
Active
Organization
LOUISIANA FOOT AND ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL THOMAS HALL IV DPM (MEMBER/OWNER)
(812) 483-7886
Entity
Organization
Contact information
Practice address
212 W MCNEESE ST, LAKE CHARLES, LA 70605-5639
(337) 474-2233
Mailing address
212 W MCNEESE ST, LAKE CHARLES, LA 70605-5639
(337) 474-2233
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
200062
LA
Other
Enumeration date
01/03/2014
Last updated
07/11/2014
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