Individual
DR. MAUREEN ROSE LANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 CYPRESS ST, SULPHUR, LA 70663-5052
(337) 527-2491
(337) 528-2749
Mailing address
5204 LA PAIX DR, SULPHUR, LA 70665-9369
(337) 583-9530
(337) 528-2749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10386R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1999857
—
LA
Enumeration date
06/22/2005
Last updated
03/19/2008
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