Individual
LOUIS BEN GAUDIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7968 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 923-3283
(225) 923-3285
Mailing address
7968 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 923-3283
(225) 923-3285
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD019883
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1651796
—
LA
01
—
DG5454
RAILROAD MEDICARE
LA
Enumeration date
10/26/2005
Last updated
04/22/2008
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