Basic Information
| Provider Information | |||||||||
| NPI: | 1245488824 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAFLEUR | ||||||||
| FirstName: | JAY | ||||||||
| MiddleName: | LANCE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1920 COUNTRY PLACE PKWY | ||||||||
| Address2: | STE 160 | ||||||||
| City: | PEARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775842283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8324032302 | ||||||||
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| Practice Location | |||||||||
| Address1: | 250 BLOSSOM ST | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | WEBSTER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775984204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7139737246 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2008 | ||||||||
| LastUpdateDate: | 02/01/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208VP0014X | N0909 | TX | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 207L00000X | N0909 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.