Individual
DR. CULLEN MICHAEL OCMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1645 LUTCHER AVE, LUTCHER, LA 70071-5150
(225) 869-9890
(225) 869-3822
Mailing address
1645 LUTCHER AVE, LUTCHER, LA 70071-0000
(225) 869-9890
(225) 869-3822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203080
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1072940
—
LA
01
—
1508186172
DR'S EMPLOYER GROUP NPI NUMBER
LA
Enumeration date
05/14/2008
Last updated
07/21/2022
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