Individual
GARY F LEGROS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6000
Mailing address
209 HIGHLAND PARK LN, LAFAYETTE, LA 70508-5641
(337) 380-8616
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
205847
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
205847
LA
363LF0000X
Family Nurse Practitioner
205847
LA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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