Individual
GINA MARIE BAGNERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 RUE ANGELIQUE, CARENCRO, LA 70520-5656
(337) 886-4707
Mailing address
17438 HARD HAT DR, COVINGTON, LA 70435-5630
(985) 249-5600
(985) 249-5618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
021394
LA
207P00000X
Emergency Medicine Physician
MD18396
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1959561
—
LA
Enumeration date
05/12/2006
Last updated
10/16/2024
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