Individual
GARRETT LIPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40470 GERMANY RD, GONZALES, LA 70737-6735
(225) 622-2022
Mailing address
40470 GERMANY RD, GONZALES, LA 70737-6735
(225) 622-2022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6780
LA
Other
Enumeration date
05/12/2017
Last updated
03/02/2020
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