Individual
GEORGE FAKHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 N HOOD, LAKE PROVIDENCE, LA 71254
(318) 559-1221
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-4964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12401R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534641
—
LA
Enumeration date
06/30/2006
Last updated
07/09/2008
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