Individual
RACHAEL LANE GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1811 DULLES DR, LAFAYETTE, LA 70506-3724
(337) 278-2351
Mailing address
313 BROADMOOR BLVD, LAFAYETTE, LA 70503-5115
(337) 278-2351
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
312419
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2013
Last updated
08/29/2019
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