Individual
MS. GWENDOLYN JANIS LEMAIRE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3609
(337) 531-3551
Mailing address
PO BOX 3111, FORT POLK, LA 71459-0111
(337) 531-3609
(337) 531-3551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN081642 AP01729
LA
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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