Organization
THE ALLERGY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS BENEDICT GAUDIN II M.D. (PHYSICIAN)
(225) 923-3283
Entity
Organization
Contact information
Practice address
7968 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 923-3283
(225) 923-3285
Mailing address
7968 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 923-3283
(225) 923-3285
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
LA019883
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1651796
—
LA
01
—
DG5454
RAILROAD MEDICARE
LA
Enumeration date
04/03/2007
Last updated
04/30/2008
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