Individual
MR. STANLEY JON LAGARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2775 S COLUMBIA RD, BOGALUSA, LA 70427-7961
(985) 871-4114
(985) 871-4130
Mailing address
29301 N DIXIE RANCH RD, LACOMBE, LA 70445-5403
(985) 871-4114
(985) 871-4130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00756
LA
Other
Enumeration date
01/11/2010
Last updated
01/14/2010
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