L Glen Mire Md Inc in Lafayette - Geriatric Medicine

L Glen Mire Md Inc - NPI 1134328966

L Glen Mire Md Inc is a Geriatric Medicine in Lafayette, Louisiana. L Glen Mire Md Inc practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for L Glen Mire Md Inc is 1134328966. The last update date is 2008-05-21.

L Glen Mire Md Inc's current location address is Po Box 61950, Lafayette, Louisiana. You can contact this provider via phone number 3379810305. The mailing address for L Glen Mire Md Inc is Po Box 61950, Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization L Glen Mire Md Inc
Address Po Box 61950, Lafayette, Louisiana
Phone Number 3379810305
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mire Glen Louis
Credentials MD
Telephone Number 3379810305

NPI Number Detail

NPI Number 1134328966
Provider Enumeration Date 2007-07-12
Last Updated Date 2008-05-21

Provider Mailing Address Detail

Address Po Box 61950
City Lafayette
State Louisiana (LA)
Post Code 705961950
Phone Number 3379810305
Fax Number

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No 12202
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1197386 LA --

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FAQs about L Glen Mire Md Inc

What is the unique provider identifier assigned to L Glen Mire Md Inc?

The L Glen Mire Md Inc has been issued the NPI (National Provider Identifier) 1134328966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where L Glen Mire Md Inc's facilities are geographically located?

The facilities of L Glen Mire Md Inc are physically situated at the following location: Po Box 61950, Lafayette, LA, 705961950.

What is L Glen Mire Md Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for L Glen Mire Md Inc is Geriatric Medicine, and the taxonomy code that classifies this field of practice is 207Qg0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134328966 to L Glen Mire Md Inc?

The L Glen Mire Md Inc received its 1134328966 assignment from the Centers for Medicare & Medicaid Services on 2007-07-12.

As of what date was the information regarding L Glen Mire Md Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to L Glen Mire Md Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-21.

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