Provider Demographics
NPI:1467224329
Name:DR. DIONNE R. NOLAN, INC
Entity Type:Organization
Organization Name:DR. DIONNE R. NOLAN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:318-245-1706
Mailing Address - Street 1:526 RABB RD
Mailing Address - Street 2:
Mailing Address - City:DUBACH
Mailing Address - State:LA
Mailing Address - Zip Code:71235-3264
Mailing Address - Country:US
Mailing Address - Phone:318-245-1706
Mailing Address - Fax:
Practice Address - Street 1:526 RABB RD
Practice Address - Street 2:
Practice Address - City:DUBACH
Practice Address - State:LA
Practice Address - Zip Code:71235-3264
Practice Address - Country:US
Practice Address - Phone:318-245-1706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty