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Contact Information

GAIL J PROVOST
9954 LAKE FOREST BLVD STE 5
NEW ORLEANS, LA70127-5498
 Phone: 504-237-2189
 Fax: 504-241-1649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Counselor

101Y00000X
 

Medical Laboratory

246RM2200X
Indicates primary specialty

NPI Profile & details for GAIL J PROVOST · (Female)

NPI Number 1174166748
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2019
Last updated 10/04/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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