Individual
LANTZ MICHAEL LAFLEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
513 CAUTILLION DR, YOUNGSVILLE, LA 70592-6279
(985) 630-5506
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
225979
LA
390200000X
Student in an Organized Health Care Education/Training Program
RN156512
LA
Other
Enumeration date
03/19/2020
Last updated
08/11/2022
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