Individual
DR. HENRY LANCE DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 PROFESSIONAL DR, WEST MONROE, LA 71291-5332
(318) 324-0080
Mailing address
106 PROFESSIONAL DR, WEST MONROE, LA 71291-5332
(318) 324-0080
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4776
LA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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