Individual
DR. STEVE LAWRENCE GAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 E OAK ST, PONCHATOULA, LA 70454-2619
(985) 386-6198
(985) 386-6223
Mailing address
PO BOX 129, PONCHATOULA, LA 70454-0129
(985) 386-6198
(985) 386-6223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L11850R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950009
—
LA
Enumeration date
10/17/2005
Last updated
11/07/2008
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