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Individual

DR. LAWRENCE LARRY GENSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7015 HIGHWAY 190, STE 102, COVINGTON, LA 70433-4960
(985) 542-1334
(985) 893-9594
Mailing address
16061 DOCTORS BLVD, STE B, HAMMOND, LA 70403-1479
(985) 542-1334
(985) 893-9594

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
020849
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1662291
LA
Enumeration date
06/15/2005
Last updated
04/23/2013
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