Individual
DR. BRIAN K GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.05
Contact information
Practice address
201 W GLORIA SWITCH RD, SUITE I, LAFAYETTE, LA 70507-2590
(337) 565-6012
(337) 565-6014
Mailing address
201 W GLORIA SWITCH RD, SUITE I, LAFAYETTE, LA 70507-2590
(337) 565-6012
(337) 565-6014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022624
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1491314
—
LA
Enumeration date
06/09/2005
Last updated
07/08/2007
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