L Glen Mire Md Inc

LBN: L Glen Mire Md Inc
L Glen Mire Md Inc is an health care organization with primary practice located at 324 Dulles Dr , Lafayette LA 70506-3008. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. L Glen Mire Md Inc can be contacted via phone (337) 981-0305, or through Mire, Louis Glen via phone (337) 981-0305.

Contact Information

Primary practice address
324 Dulles Dr Lafayette LA 70506-3008
Phone: (337) 981-0305
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mire, Louis Glen Doctor of Medicine (MD)
Phone: (337) 981-0305

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 012202 Louisiana

Profile Details

NPI number 1134328966
LBN Legal business name L Glen Mire Md Inc
DBA Doing business as
Authorized official Mire, Louis Glen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated May 21st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134328966 NPPES
Louisiana MEDICAID 1197386

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