Individual
DR. HAROLD J GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY, SUITE 200, LAFAYETTE, LA 70508-6917
(337) 988-8855
(337) 988-8833
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 200, LAFAYETTE, LA 70508-6917
(337) 988-8855
(337) 988-8833
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
022269
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149441
—
LA
01
—
200035793
PALMETTO GBA - RAILROAD M
LA
Enumeration date
07/08/2005
Last updated
08/06/2012
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