person
Gregory D Lord, MD
General Practice Physician in Leesville, Louisiana
NPI 1639162290

Gregory D Lord is a General Practice Physician based in Leesville, LA. Gregory D Lord practices in Leesville, LA and has the professional credentials of MD. The NPI Number for Gregory D Lord is 1639162290 and holds a License No. 016350 (Louisiana).

The current practice location address for Gregory D Lord is 301 W Fertitta Blvd Ste 1, Leesville, LA and can be reached out via phone at 337-238-0167 and via fax at 337-238-0574.

Location: 301 W Fertitta Blvd Ste 1, Leesville, LA, 71446-4665
person
Provider Profile Details
NPI Number
1639162290
Provider Name
Gregory D Lord
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 W Fertitta Blvd Ste 1, Leesville, LA, 71446-4665
Phone Number
337-238-0167
Fax Number
337-238-0574
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1322750 05 LA
institution
Provider Business Practice Location Address Details
Address
301 W Fertitta Blvd Ste 1
City
State
Zip
71446-4665
Phone Number
337-238-0167
Fax Number
337-238-0574
person
Provider Business Mailing Address Details
Address
301 W Fertitta Blvd Ste 1
City
State
Zip
71446-4665
Phone Number
337-238-0167
Fax Number
337-238-0574
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
016350 (Louisiana)
Definition
Definition to come...
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