| H. Lance Donald Dds | |
|
106 Professional Dr West Monroe LA 71291-5332 | |
| (318) 324-0080 | |
| (318) 324-0087 |
| Full Name | H. Lance Donald Dds |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 106 Professional Dr, West Monroe, Louisiana |
| Authorized Official Name and Position | Henry Lance Donald (PRESIDENT/ENDODONTIST) |
| Authorized Official Contact | 3183240080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Lance Donald Dds 106 Professional Dr West Monroe LA 71291-5332 Ph: (318) 324-0080 | H. Lance Donald Dds 106 Professional Dr West Monroe LA 71291-5332 Ph: (318) 324-0080 |
| NPI Number | 1629327507 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629327507 | NPI | - | NPPES |
| 1847763 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 4777 (Louisiana) | Primary |
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