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Individual

DR. DUSTIN LUKE VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8460 HARRIS RD, DENHAM SPRINGS, LA 70726-6729
(225) 665-5915
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.206194
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/20/2010
Last updated
09/16/2013
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