Individual
LORI NICOLE GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
301091
LA
Other
Enumeration date
03/25/2012
Last updated
06/24/2024
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