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Individual

LANCE ANGELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
5258 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 256-3828
(225) 256-3829
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34014
FL

Other

Enumeration date
11/12/2019
Last updated
02/09/2024
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