Organization
LAWRENCE P MENACHE MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE P MENACHE MD (PRESIDENT)
(318) 484-9749
Entity
Organization
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6917
(318) 484-2505
Mailing address
PO BOX 13285, ALEXANDRIA, LA 71315-3285
(318) 484-9749
(318) 484-2505
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD08338R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901857
—
LA
Enumeration date
08/17/2007
Last updated
08/17/2007
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