Gregory D Lord in Leesville - General Practice
Gregory D Lord - NPI 1639162290
Gregory D Lord is a General Practice in Leesville, Louisiana. Gregory D Lord practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory D Lord is 1639162290. The last update date is 2007-07-08.
Gregory D Lord's current location address is 301 W Fertitta Blvd Ste 1, Leesville, Louisiana. You can contact this provider via phone number 3372380167 and fax number 3372380574. The mailing address for Gregory D Lord is 301 W Fertitta Blvd Ste 1, Leesville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory D Lord |
|---|---|
| Address | 301 W Fertitta Blvd Ste 1, Leesville, Louisiana |
| Phone Number | 3372380167 |
| Fax Number | 3372380574 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639162290 |
|---|---|
| Provider Enumeration Date | 2005-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 301 W Fertitta Blvd Ste 1 |
|---|---|
| City | Leesville |
| State | Louisiana (LA) |
| Post Code | 714464665 |
| Phone Number | 3372380167 |
| Fax Number | 3372380574 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 16350 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1322750 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory D Lord by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory D Lord has been assigned the NPI (National Provider Identifier) 1639162290. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Gregory D Lord is physically located?
The Gregory D Lord is situated at the following address: 301 W Fertitta Blvd Ste 1, Leesville, LA 714464665.
What is the Gregory D Lord's specialty and taxonomy code?
The Gregory D Lord's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date was the 1639162290 assigned to Gregory D Lord?
The Gregory D Lord was issued its 1639162290 on 2005-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Gregory D Lord most recently updated or revised?
The details related to Gregory D Lord, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.