Individual
MR. JOHN EDWARD LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
101 LA RUE FRANCE, STE 300, LAFAYETTE, LA 70508-3144
(337) 269-5929
Mailing address
101 LA RUE FRANCE, STE 500, LAFAYETTE, LA 70508-3144
(337) 269-9828
(337) 234-1075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07068R
LA
225100000X
Physical Therapist
5567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86059251885713A017
TRICARE
AZ
Enumeration date
06/28/2005
Last updated
06/24/2008
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