Individual
MANGUESH G VELINGKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 N 5TH ST, LEESVILLE, LA 71446-4025
(337) 392-0222
(337) 392-0226
Mailing address
103 N 5TH ST, LEESVILLE, LA 71446-4025
(337) 392-0222
(337) 392-0226
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13834R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1436321
—
LA
Enumeration date
08/20/2006
Last updated
10/24/2008
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