Individual
DOUGLAS ANDREW LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 W. SEMINARY AVE, ONARGA, IL 60955
(815) 268-4843
(815) 268-4845
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(815) 268-4840
(815) 268-4845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036127703
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370647938
MOLINA NUMBER
IL
Enumeration date
08/12/2008
Last updated
08/18/2020
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