Individual
PARKER LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 234-7400
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
01/11/2024
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