Lane Taylor Macdougall, DPT
Physical Therapist in Marrero, LA. Individual provider (NPI-1).
NPI number1154977643
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1154977643
- Entity type
- Individual (NPI-1)
- Name
- Lane Taylor Macdougall
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2019
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10345 | LA | Yes |
Practice location
1111 Medical Center Blvd Ste 630Marrero, LA 70072-3194
Phone 504-340-6976
Mailing address
1111 Medical Center Blvd Ste 630Marrero, LA 70072-3194
Phone 504-340-6976
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All 20 Physical Therapist providers in Marrero · All 1,518 providers in Marrero
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