Lord, Gregory D

Lord, Gregory D is an sole proprietor health care provider with primary practice located at 301 W Fertitta Blvd Ste 1 , Leesville LA 71446-4665. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Lord, Gregory D can be contacted via phone (337) 238-0167.

Contact Information

Primary practice address
301 W Fertitta Blvd Ste 1 Leesville LA 71446-4665
Phone: (337) 238-0167
Fax: (337) 238-0574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 016350 Louisiana

Profile Details

NPI number 1639162290
LBN Legal business name Lord, Gregory D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2005
Last updated Jul 8th, 2007 - about 19 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 1639162290 NPPES
Louisiana MEDICAID 1322750

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