Organization
GULF COAST SPORT AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEBOURGEOIS DC (OWNER)
(504) 372-4062
Entity
Organization
Contact information
Practice address
3941 HOUMA BLVD STE 2A, METAIRIE, LA 70006-2920
(504) 372-4062
Mailing address
3941 HOUMA BLVD STE 2A, METAIRIE, LA 70006-2920
(504) 372-4062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1800
LA
Other
Enumeration date
10/16/2017
Last updated
03/26/2018
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