Individual
MR. JOSHUA PAUL VALLELUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 AVENUE F, LSU RURAL FAMILY MEDICINE RESIDENCY PROGRAM, BOGALUSA, LA 70427-3600
(985) 735-6735
Mailing address
420 AVENUE F, BOGALUSA, LA 70427-3600
(985) 732-0058
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.205187
LA
207Q00000X
Family Medicine Physician
Primary
MD.205187
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2010
Last updated
02/01/2013
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