Koby Lanclos, MD | |
401 Audubon Blvd Ste 215-b, Lafayette, LA 70503-2676 | |
(337) 366-1144 | |
Not Available |
Full Name | Koby Lanclos |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 401 Audubon Blvd Ste 215-b, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447713094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 338353 (Louisiana) | Primary |
Entity Name | Lafayette General Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649408832 PECOS PAC ID: 4688581457 Enrollment ID: O20100301000064 |
Entity Name | Louisiana Rehabilitation Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922780808 PECOS PAC ID: 0941664049 Enrollment ID: O20230907002933 |
Mailing Address | Practice Location Address |
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Koby Lanclos, MD 401 Audubon Blvd Ste 215-b, Lafayette, LA 70503-2676 Ph: (337) 366-1144 | Koby Lanclos, MD 401 Audubon Blvd Ste 215-b, Lafayette, LA 70503-2676 Ph: (337) 366-1144 |
Dr. Brendan Conroy, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 | |
John Daniel Fruge, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1103 Kaliste Saloom Rd Ste 202, Lafayette, LA 70508 Phone: 337-269-6335 Fax: 337-235-2765 | |
Evan Phillips, PA Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508 Phone: 225-274-5148 | |
Stuart Anthony Begnaud, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 121 Rue Louis Xiv, Bldg 5 Suite B, Lafayette, LA 70508 Phone: 337-981-5088 Fax: 337-981-7212 | |
Daniel Lee Hodges, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 100, Lafayette, LA 70508 Phone: 337-234-5234 Fax: 337-235-2121 | |
Dr. Stephen G Rees, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St, Lafayette, LA 70506 Phone: 337-703-4481 |