Organization
GBR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LATIOLAIS (MANAGER)
(337) 234-3204
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR. STE 101, LAFAYETTE, LA 70503
(337) 234-3204
(337) 234-3599
Mailing address
155 HOSPITAL DR. STE 101, LAFAYETTE, LA 70503
(337) 234-3204
(337) 234-3599
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
10/18/2019
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