Organization
LMG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J GALLAGHER M.D, (DIRECTOR)
(504) 391-7670
Entity
Organization
Contact information
Practice address
4633 WICHERS DR, MARRERO, LA 70072-3002
(504) 391-7670
(504) 378-9439
Mailing address
4633 WICHERS DR, MARRERO, LA 70072-3002
(504) 391-7670
(504) 378-9439
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7352890002
DME PTAN
LA
Enumeration date
11/26/2014
Last updated
08/06/2015
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