Provider Demographics
NPI:1043301039
Name:LEMOINE, LANCE PAUL JR (PT, DPT,OCS, FAAOMPT)
Entity type:Individual
Prefix:MR
First Name:LANCE
Middle Name:PAUL
Last Name:LEMOINE
Suffix:JR
Gender:M
Credentials:PT, DPT,OCS, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 LEE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4954
Mailing Address - Country:US
Mailing Address - Phone:225-302-5766
Mailing Address - Fax:225-302-5880
Practice Address - Street 1:123 LEE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4954
Practice Address - Country:US
Practice Address - Phone:225-302-5766
Practice Address - Fax:225-302-5880
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA007592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic