Louis Glen Mire in Lafayette - Geriatric Medicine

Louis Glen Mire - NPI 1366468084

Louis Glen Mire is a Geriatric Medicine in Lafayette, Louisiana. Louis Glen Mire practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Louis Glen Mire is 1366468084. The last update date is 2008-06-12.

Louis Glen Mire's current location address is 2390 W Congress St, Lafayette, Louisiana. You can contact this provider via phone number 3372616690 and fax number 3372616662. The mailing address for Louis Glen Mire is 2390 W Congress St, Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Louis Glen Mire
Address 2390 W Congress St, Lafayette, Louisiana
Phone Number 3372616690
Fax Number 3372616662
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1366468084
Provider Enumeration Date 2006-07-14
Last Updated Date 2008-06-12

Provider Mailing Address Detail

Address 2390 W Congress St
City Lafayette
State Louisiana (LA)
Post Code 705064205
Phone Number 3372616690
Fax Number 3372616662

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 --
380001653 LA RAILROAD MEDICARE

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FAQs about Louis Glen Mire

What is the Louis Glen Mire's 1366468084?

The Louis Glen Mire's NPI (National Provider Identifier) Number is 1366468084. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Louis Glen Mire is geographically located?

The Louis Glen Mire is physically situated at the following location: 2390 W Congress St, Lafayette, LA, 705064205.

What is Louis Glen Mire's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Louis Glen Mire is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qg0300X.

On what date did Louis Glen Mire receive its 1366468084 assignment from the Centers for Medicare & Medicaid Services?

The Louis Glen Mire was assigned its 1366468084 on 2006-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Louis Glen Mire, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Louis Glen Mire, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-12.

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