Individual
MADISON HARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 JOSHUA LN, LAKE CHARLES, LA 70611-4311
(337) 377-6336
Mailing address
320 JOSHUA LN, LAKE CHARLES, LA 70611-4311
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
325474
LA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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