Search › Louisiana › 171M00000X

Lane Waller

NPI 1831049261 · on the registry since 2026

Practice

Address
720 Saint John St
Lafayette, LA 70501
Phone
(337) 237-2090
Clinicians at this address
18

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2026-02-03

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