Individual
MR. LANCE HENAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Mailing address
PO BOX 122165, DEPT 2165, DALLAS, TX 75312-2165
(337) 494-2919
(337) 494-3069
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP08442
LA
363LF0000X
Family Nurse Practitioner
AP08442
LA
Other
Enumeration date
07/13/2015
Last updated
10/16/2023
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