SHANE NOUFAL LAHOOD

LAFAYETTE, LA
NPI1932240579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA A10421)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
-- SHANE NOUFAL LAHOOD
913 S COLLEGE RD SUITE 102
LAFAYETTE, LA 70503-3060
Phone number: 337-234-5344
Mailing Address
-- SHANE NOUFAL LAHOOD
115 ASHWOOD DR
LAFAYETTE, LA 70503-5101
Phone number: 337-234-5344