Individual
LIONEL GUILLAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3018 OLD MINDEN RD, SUITE 1212, BOSSIER CITY, LA 71112-2495
(318) 747-1665
(318) 747-1597
Mailing address
3018 OLD MINDEN RD, SUITE 1212, BOSSIER CITY, LA 71112-2476
(318) 747-1665
(318) 747-1597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017032
LA
2084P0800X
Psychiatry Physician
017032
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343765
—
LA
Enumeration date
03/16/2006
Last updated
09/17/2021
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