Individual
MICHAEL DAVID LANCLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, NNP-BC
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-7486
Mailing address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-7486
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP05862
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP05862
LA
Other
Enumeration date
09/15/2009
Last updated
08/19/2025
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