Individual
RYAN ROUGELOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4194
Mailing address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
340136
LA
Other
Enumeration date
06/10/2021
Last updated
06/06/2024
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