# BRIAN LIND GAMBORG MD APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881800886
- **Authorized official:** BRIAN GAMBORG MD (OWNER)
- **Authorized official phone:** (337) 527-8087

## Contact information

- **Practice address:** 1114 STELLY LN, SULPHUR, LA 70663-5139
- **Practice address phone:** (337) 527-7087
- **Practice address fax:** (337) 527-9831
- **Mailing address:** 1114 STELLY LN, SULPHUR, LA 70663-5139
- **Mailing address phone:** (337) 527-7087
- **Mailing address fax:** (337) 527-9831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 023359 | LA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 02/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1449491 | — | LA |