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Individual

DR. LAWRENCE A. GIAMBELLUCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1112 ENGINEERS RD, BELLE CHASSE, LA 70037-3131
(504) 393-0610
(504) 393-0710
Mailing address
1112 ENGINEERS RD, SUITE 3, BELLE CHASSE, LA 70037-3131
(504) 393-0610
(504) 393-0710

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L#015363
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1319627
LA
01
1548650831
GROUP NPI
LA
01
1992704076
INDIVIDUAL NPI
LA
Enumeration date
07/20/2005
Last updated
04/05/2017
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