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Contact Information

L GLEN MIRE MD INC
324 DULLES DR
LAFAYETTE, LA70506-3008
 Phone: 337-981-0305
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for L GLEN MIRE MD INC

NPI Number 1134328966
LBN Legal business name L GLEN MIRE MD INC
Authorized official LOUIS MIRE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2007
Last updated 05/21/2008 - About 18 years ago
Identifiers
LA License # 012202
LA Medicaid 1197386
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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