Lawrence Gale Gardner in Shreveport - Otology & Neurotology

Lawrence Gale Gardner - NPI 1215911516

Lawrence Gale Gardner is a Otology & Neurotology in Shreveport, Louisiana. Lawrence Gale Gardner practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Lawrence Gale Gardner is 1215911516. The last update date is 2014-03-13.

Lawrence Gale Gardner's current location address is 1512 W Kirby Pl, Shreveport, Louisiana. You can contact this provider via phone number 3186755000. The mailing address for Lawrence Gale Gardner is 1512 W Kirby Pl, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence Gale Gardner
Address 1512 W Kirby Pl, Shreveport, Louisiana
Phone Number 3186755000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1215911516
Provider Enumeration Date 2005-12-01
Last Updated Date 2014-03-13

Provider Mailing Address Detail

Address 1512 W Kirby Pl
City Shreveport
State Louisiana (LA)
Post Code 711033822
Phone Number 3186755000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Otology & Neurotology
Taxonomy 207Yx0901X
Licence No 3843
Definition:
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1621072 LA --
4J587F600 LA MEDICARE - PTAN

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FAQs about Lawrence Gale Gardner

What is the unique 10-digit identifier code issued to Lawrence Gale Gardner by the Centers for Medicare & Medicaid Services?

The Lawrence Gale Gardner has been assigned the NPI (National Provider Identifier) 1215911516 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Lawrence Gale Gardner's facilities are geographically located?

The facilities of Lawrence Gale Gardner are physically situated at the following location: 1512 W Kirby Pl, Shreveport, LA, 711033822.

What is Lawrence Gale Gardner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lawrence Gale Gardner is Otology & Neurotology, and the corresponding taxonomy classification code for this specialized field is 207Yx0901X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215911516 to Lawrence Gale Gardner?

The Centers for Medicare & Medicaid Services assigned the 1215911516 to Lawrence Gale Gardner on 2005-12-01.

When was the information pertaining to Lawrence Gale Gardner most recently updated or revised?

The details related to Lawrence Gale Gardner, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-13.

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