Provider Demographics
NPI:1740253855
Name:TEMPLETON, LANCE E (MD)
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:E
Last Name:TEMPLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 4TH ST
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8423
Mailing Address - Country:US
Mailing Address - Phone:318-473-2169
Mailing Address - Fax:318-487-8447
Practice Address - Street 1:301 4TH ST
Practice Address - Street 2:SUITE 4A
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8423
Practice Address - Country:US
Practice Address - Phone:318-473-2169
Practice Address - Fax:318-487-8447
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2007-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAL10316R208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1984876Medicaid
LA0280850001OtherCIGNA-GOVERNMENT
LAE84683Medicare UPIN
LA5U178Medicare PIN