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Individual

GAULT HENRY TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
830 BAYOU PINES DR, THE PATHOLOGY LABORATORY, LAKE CHARLES, LA 70601
(337) 436-9557
(337) 439-3085
Mailing address
830 BAYOU PINES DR, LAKE CHARLES, LA 70601
(337) 436-9557
(337) 439-3085

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
017778
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1392146
LA
Enumeration date
01/20/2006
Last updated
02/11/2011
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