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Koby Lanclos, MD

NPI 1447713094 · on the registry since 2019 · sole proprietor

Practice

Address
401 Audubon Blvd Ste 215-B
Lafayette, LA 70503
Phone
(337) 366-1144
Organisation at this address
Urosource Llc
Audubon Pca Services
Angels Hearts Home Care
Angels Hearts Home Care
Angels Hearts Home Care Lla
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana