NPI 1467097550 · live from the CMS NPI Registry
Lance Angelle, PT
Physical Therapist in Baton Rouge, LA. National Provider Identifier 1467097550, active.
NPI record
| NPI | 1467097550 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 5258 Dijon Dr, Baton Rouge, LA 70808 |
| Practice phone | 225-256-3828 |
| Mailing address | 604 N Acadia Rd Ste 101, Thibodaux, LA 70301 |
| Enumerated | November 12, 2019 |
| Last updated | February 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 34014 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.