Individual
MR. DAVID PAUL GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Mailing address
501 DOCTOR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04218
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159956
—
LA
01
—
AP04218
STATE NP LICENSE NO.
LA
01
—
RN063053
RN STATE LICENSE NO.
LA
Enumeration date
05/16/2006
Last updated
03/21/2017
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