Individual
MICHELLE R BEURLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1587 N BOLTON AVE STE 1100, ALEXANDRIA, LA 71303-4255
(318) 445-9823
(318) 445-1509
Mailing address
1587 N BOLTON AVE STE 1100, ALEXANDRIA, LA 71303-4255
(318) 445-9823
(318) 445-1509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
322103
LA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
322103
LA
390200000X
Student in an Organized Health Care Education/Training Program
BP10041034
TX
Other
Enumeration date
07/17/2012
Last updated
10/15/2020
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