Individual
DAVID CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
401 LIVE OAK DR, LAFAYETTE, LA 70503-4007
(318) 963-2521
Mailing address
401 LIVE OAK DR, LAFAYETTE, LA 70503-4007
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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