Individual
GABRIEL LASALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 JUDGE TANNER BLVD STE 300, COVINGTON, LA 70433-7506
(985) 867-2100
(985) 871-1548
Mailing address
101 JUDGE TANNER BLVD STE 300, COVINGTON, LA 70433-7506
(985) 867-2100
(985) 871-1548
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10402R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1967297
—
LA
Enumeration date
11/09/2005
Last updated
02/15/2023
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