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NPI Code Detail

MEDICARE: LANE ALFORD

MEDICARE: LANE ALFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorPLC11287LA

General Provider Information

NPI Number : 1578494183
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANE ALFORD
Provider Business Mailing Address
First Line : 1000 CHINABERRY DR STE 900
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2455
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 430 DIXIE PLZ
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-5881
Country : US
Telephone Number : 318-357-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 06/02/2026

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Directions to “ LANE ALFORD ” Practice Location

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