Individual
LANE TAYLOR MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE 630, MARRERO, LA 70072-3194
(504) 340-6976
Mailing address
1111 MEDICAL CENTER BLVD STE 630, MARRERO, LA 70072-3194
(504) 340-6976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10345
LA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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