Individual
DR. LIONEL P BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 MANHATTAN BLVD, HARVEY, LA 70058-2987
(504) 349-6930
(504) 361-5496
Mailing address
2845 MANHATTAN BLVD, HARVEY, LA 70058-2987
(504) 349-6930
(504) 361-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015631
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011659
CDS
LA
Enumeration date
11/25/2005
Last updated
03/07/2023
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