Individual
KOBY LANCLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 AUDUBON BLVD STE 215-B, LAFAYETTE, LA 70503-2676
(337) 366-1144
Mailing address
401 AUDUBON BLVD STE 215-B, LAFAYETTE, LA 70503-2676
(337) 366-1144
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
338353
LA
Other
Enumeration date
04/10/2019
Last updated
11/16/2023
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