Individual
DR. JOHN L. LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 PARK CENTRAL DR STE 400, DALLAS, TX 75251-2116
(214) 483-9300
(214) 483-9301
Mailing address
12200 PARK CENTRAL DR STE 400, DALLAS, TX 75251-2116
(214) 483-9300
(214) 483-9301
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
J4285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074006003
CIGNA
TX
05
—
116113506
—
TX
01
—
8J5630
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
10/02/2006
Last updated
05/19/2020
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