Individual
MR. LEONARD LESTAN GAUTHIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10534 BAYOU DES GLAISES ST, MOREAUVILLE, LA 71355-3038
(318) 985-3950
(318) 985-3950
Mailing address
10534 BAYOU DES GLAISES ST, MOREAUVILLE, LA 71355-3038
(318) 985-3950
(318) 985-3950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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