Organization
LORI GAUTREAUX BERGERON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI N GAUTREAUX MD (MD/OWNER)
(337) 678-4401
Entity
Organization
Contact information
Practice address
4640 W CONGRESS ST, LAFAYETTE, LA 70506-6622
(337) 678-4401
(866) 393-8293
Mailing address
4640 W CONGRESS ST, LAFAYETTE, LA 70506-6622
(337) 678-4401
(866) 393-8293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2016
Last updated
06/24/2024
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