Individual
DR. TOD BLANE LAWHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
945 EAST MADISON AVE, BASTROP, LA 71220
(318) 281-6167
(318) 281-6161
Mailing address
945 EAST MADISON AVE, BASTROP, LA 71220
(318) 281-6167
(318) 281-6161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4364
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843644
—
LA
Enumeration date
09/01/2006
Last updated
07/08/2007
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