Individual
CHARLES LANE ANZALONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W PINHOOK RD STE 201, LAFAYETTE, LA 70503-2464
(337) 237-0650
(888) 990-2781
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
T2020-103
AR
Other
Enumeration date
05/19/2015
Last updated
07/07/2021
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