Individual
LORRIS J BOUZIGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
15813 PAUL VEGA MD DR STE 401A, HAMMOND, LA 70403-1426
(985) 230-1580
(985) 230-1585
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN094539
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP04401
LA
Other
Enumeration date
02/03/2009
Last updated
12/08/2022
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