# LORI GAUTREAUX BERGERON LLC

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

## Provider details

- **NPI number:** 1912369851
- **Authorized official:** DR. LORI N GAUTREAUX MD (MD/OWNER)
- **Authorized official phone:** (337) 678-4401

## Contact information

- **Practice address:** 4640 W CONGRESS ST, LAFAYETTE, LA 70506-6622
- **Practice address phone:** (337) 678-4401
- **Practice address fax:** (866) 393-8293
- **Mailing address:** 4640 W CONGRESS ST, LAFAYETTE, LA 70506-6622
- **Mailing address phone:** (337) 678-4401
- **Mailing address fax:** (866) 393-8293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2016
- **Last updated:** 06/24/2024