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NPI Code Detail

MEDICARE: ANTHONY LADD ALLAIN D.C.

MEDICARE: ANTHONY LADD ALLAIN D.C.
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
1111N00000XChiropractor1046LA

General Provider Information

NPI Number : 1093860884
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY LADD ALLAIN D.C.
Provider Business Mailing Address
First Line : 349 SAM HOUSTON JONES PKWY
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70611-5602
Country : US
Telephone Number : 337-217-0207
Fax Number : 337-217-0801
Provider Business Practice Location Address
First Line : 349 SAM HOUSTON JONES PKWY
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70611-5602
Country : US
Telephone Number : 337-217-0207
Fax Number : 337-217-0801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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