LANCE FOGLEMAN

LAFAYETTE, LA
NPI1033476379
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  MD207073)
Enumeration Date2012-04-11
Last Update Date2016-07-18
Business Address
-- LANCE FOGLEMAN
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-501-3698
Mailing Address
-- LANCE FOGLEMAN
517 E DEMANADE DR
LAFAYETTE, LA 70503-2551
Phone number: 337-501-3698
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