Individual
DR. LAWRENCE PAUL BOURGEIOS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9344 THREE RIVERS RD, GULFPORT, MS 39503-4268
(228) 865-9898
(228) 863-5616
Mailing address
1700 2ND ST APT 10, GULFPORT, MS 39501-2137
(228) 216-8333
(228) 863-5616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1293
MS
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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