Organization
LOUISIANA FOOT AND ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL THOMAS HALL IV DPM (MEMBER/OWNER)
(812) 483-7886
Entity
Organization
Contact information
Practice address
212 W MCNEESE ST, LAKE CHARLES, LA 70605-5639
(337) 474-2233
Mailing address
212 W MCNEESE ST, LAKE CHARLES, LA 70605-5639
(337) 474-2233
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
200062
LA
Other
Enumeration date
01/03/2014
Last updated
07/11/2014
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