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Individual

GLENN CHARLES LAFLEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
317 OPUS ONE DR, BROUSSARD, LA 70518
(337) 802-3579
Mailing address
317 OPUS ONE DR, BROUSSARD, LA 70518-7043

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14547R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1057223
LA
Enumeration date
04/25/2006
Last updated
10/04/2018
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