Individual
FALLON LYNNE GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 SW RAILROAD AVE, SUITE G, HAMMOND, LA 70403-4961
(985) 542-2223
(985) 542-2206
Mailing address
710 SW RAILROAD AVE, SUITE G, HAMMOND, LA 70403-4961
(985) 542-2223
(985) 542-2206
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/24/2012
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