LANE WYBLE

MONROE, LA
NPI1720642390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  206936)
Additional Taxonomies163W00000X Registered Nurse
(Licence: LA  RN136523)
Enumeration Date2019-04-29
Last Update Date2019-08-07
Business Address
LANE WYBLE
2408 BROADMOOR BLVD STE B
MONROE, LA 71201-2994
Phone number: 318-807-0525
Mailing Address
LANE WYBLE
130 DESIARD ST STE 355
MONROE, LA 71201-7363
Phone number: 318-807-7875
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