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1609879139
KRAIG S DE LANZAC
SLIDELL, LA
NPI
1609879139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 10512R)
Enumeration Date
2005-05-30
Last Update Date
2007-12-08
Business Address
-- KRAIG S DE LANZAC M.D.
1001 GAUSE BLVD
SLIDELL, LA 70458-2939
Phone number: 985-649-8767
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Mailing Address
-- KRAIG S DE LANZAC M.D.
120 INNWOOD DR
COVINGTON, LA 70433-9123
Phone number: 985-892-3225
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