Individual
DR. LANE C PERILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2204 ROBIN AVE, HAMMOND, LA 70403-5751
(985) 542-7878
Mailing address
2204 ROBIN AVE, HAMMOND, LA 70403-5751
(985) 542-7878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10683
LA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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