Individual
DR. CHANTALE LACELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5323 HARRY HINES BLVD RM G4.212, DALLAS, TX 75390-8886
(214) 648-3450
(214) 648-9131
Mailing address
5323 HARRY HINES BLVD RM G4.212, DALLAS, TX 75390-8886
(214) 648-3450
(214) 648-9131
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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