Individual
MR. MICHAEL LOUIS BURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
138 LAZARO BLVD SUITE A, OPELOUSAS, LA 70570
(337) 948-1802
(337) 942-9074
Mailing address
138 LAZARO BLVD SUITE A, OPELOUSAS, LA 70570
(337) 447-4025
(337) 942-5517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023031
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1493911
—
LA
Enumeration date
03/30/2006
Last updated
11/06/2018
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