Organization
LANNAN FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN ROSE LANNAN M.D. (OWNER)
(337) 527-2491
Entity
Organization
Contact information
Practice address
622 CYPRESS ST, SULPHUR, LA 70663-5052
(337) 527-2491
(337) 528-2749
Mailing address
5204 LAPAIX DR, SULPHUR, LA 70663-9369
(337) 527-2491
(337) 528-2749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10386R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1999857
—
LA
01
—
436895832C
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
03/22/2007
Last updated
03/20/2008
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