Organization
SOUTH LOUISIANA ENT, FACIAL PLASTIC & HAIR RESTORATION, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M GUILLOT MD (OWNER)
(985) 327-5905
Entity
Organization
Contact information
Practice address
1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3104
(985) 327-5905
(985) 200-0840
Mailing address
1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3104
(985) 327-5905
(985) 200-0840
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
203549
LA
207YS0123X
Facial Plastic Surgery Physician
203549
LA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
203549
LA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
203549
LA
Other
Enumeration date
07/19/2010
Last updated
10/10/2025
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