Lori Gautreaux Bergeron Llc | |
4049 I 49 S Service Rd Opelousas LA 70570-0757 | |
(337) 678-4401 | |
(866) 393-8293 |
Full Name | Lori Gautreaux Bergeron Llc |
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Speciality | Internal Medicine |
Location | 4049 I 49 S Service Rd, Opelousas, Louisiana |
Authorized Official Name and Position | Lori N Gautreaux (MD/OWNER) |
Authorized Official Contact | 3376784401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lori Gautreaux Bergeron Llc 4049 I 49 S Service Rd Opelousas LA 70570-0757 Ph: (337) 678-4401 | Lori Gautreaux Bergeron Llc 4049 I 49 S Service Rd Opelousas LA 70570-0757 Ph: (337) 678-4401 |
NPI Number | 1912369851 |
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Provider Enumeration Date | 03/21/2016 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 4284921461 |
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Medicare Enrollment ID | O20161003002011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912369851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lori N Gautreaux |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942576855 PECOS PAC ID: 4981909660 Enrollment ID: I20161003002218 |
Opelousas General Health System Physician Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 N Union St, Opelousas, LA 70570 Phone: 337-948-1802 Fax: 337-942-9074 | |
Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3921 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-5706 Fax: 337-942-2644 | |
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Metoyer Medical Corporation Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 W North St, Opelousas, LA 70570 Phone: 337-948-4445 Fax: 337-948-1118 | |
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