Individual
LANCE R MORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 454-4000
Mailing address
PO BOX 919190, DALLAS, TX 75391-9190
(504) 779-5515
(504) 779-5568
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP09360
LA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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