Glowacki, Gregory Lyon

Glowacki, Gregory Lyon is an individual health care provider with primary practice located at 1555 Gary Dr Ste A , Breaux Bridge LA 70517-3448. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Glowacki, Gregory Lyon can be contacted via phone (337) 909-2474.

Contact Information

Primary practice address
1555 Gary Dr Ste A Breaux Bridge LA 70517-3448
Phone: (337) 909-2474
Fax: (337) 909-2479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 015143 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.015143 Louisiana

Profile Details

NPI number 1710917414
LBN Legal business name Glowacki, Gregory Lyon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710917414 NPPES
Louisiana MEDICAID 1321010

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