Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koby Lanclos, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1447713094

Koby Lanclos, MD is a Physical Medicine and Rehabilitation in Lafayette, Louisiana. Qualified in 2019, 7 years ago. Practices with Lafayette Health Ventures Inc, a 299-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 Audubon Blvd Ste 215-B
Lafayette, LA 70503-2676
Phone: (337) 366-1144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 338353 (LA)

Record details

NPI number1447713094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2019
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address401 Audubon Blvd Ste 215-B, Lafayette, LA 70503-2676

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lafayette Health Ventures Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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