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Individual

DR. RANDY LANE LAVESPERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
911 WAREHOUSE ROAD, ANGOLA, LA 70712
(225) 655-2286
(225) 655-2738
Mailing address
PO BOX 100, ANGOLA, LA 70712-0100
(225) 245-4155
(225) 655-2738

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023739
LA

Other

Enumeration date
02/07/2013
Last updated
02/07/2013
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