Individual
ALISON LEONARD BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 EUREKA DR, GRAY, LA 70359-3247
(985) 873-4729
(985) 873-4728
Mailing address
8166 MAIN ST, HOUMA, LA 70360-3404
(985) 873-4141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07458
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
LA
Enumeration date
08/21/2013
Last updated
06/27/2023
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