Individual
DR. JEANNE NICOLE GAUTREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6550 MAIN ST, SUITE 2000, ZACHARY, LA 70791-4092
(225) 235-9308
(225) 658-1304
Mailing address
3822 MONTE VISTA DR, ADDIS, LA 70710-3004
(225) 235-9308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.204395
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1974722
—
LA
Enumeration date
03/20/2009
Last updated
01/26/2020
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