Individual
MR. CHRISTIAN LYLE MONTEGUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
429 WEST AIRLINE HWY, SUITE B, LAPLACE, LA 70068-3817
(985) 652-3344
(985) 652-9320
Mailing address
429 WEST AIRLINE HWY, SUITE B, LAPLACE, LA 70068-3817
(985) 652-3344
(985) 652-9320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203596
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1181056
—
LA
Enumeration date
07/23/2008
Last updated
04/03/2012
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