Individual
DR. LAWRENCE MARIANO SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3256 HIGHWAY 190, EUNICE, LA 70535-5125
(337) 550-8530
(337) 550-8534
Mailing address
3256 HIGHWAY 190, EUNICE, LA 70535-5125
(337) 550-8530
(337) 550-8534
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD.203465
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154581882
—
CA
Enumeration date
06/16/2008
Last updated
08/19/2016
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