Individual
SHANE NOUFAL LAHOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 S COLLEGE RD, SUITE 102, LAFAYETTE, LA 70503-3060
(337) 234-5344
Mailing address
115 ASHWOOD DR, LAFAYETTE, LA 70503-5101
(337) 234-5344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA A10421
LA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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