Individual
LANCE WALDMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 HAMPTON ST, VINTON, LA 70668-3707
(337) 589-5951
(337) 589-4031
Mailing address
1611 HAMPTON ST, VINTON, LA 70668-3707
(337) 589-5951
(337) 589-4031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03585
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1439681
—
LA
Enumeration date
06/14/2005
Last updated
07/08/2007
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