Individual
DR. JOHN L. LANOUE
Active
Individual
DR. JOHN L. LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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