Individual
MR. GARRETT LANE VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 ENTERPRISE DR STE C, HOUMA, LA 70360-5405
(985) 360-3755
(985) 879-4580
Mailing address
213 BELMERE LUXURY CT, HOUMA, LA 70360-2960
(903) 272-7950
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
302659
LA
207N00000X
Dermatology Physician
Primary
T5686
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2015
Last updated
01/22/2026
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