Individual
MORGAN RAE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ANP-C
Contact information
Practice address
3236 KIRKMAN ST, LAKE CHARLES, LA 70601-8640
(337) 478-6020
(337) 475-8613
Mailing address
4208 MAID STONE DR, LAKE CHARLES, LA 70605-4032
(337) 377-3053
(337) 475-8892
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06841
LA
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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