NPI 1134328966

L Glen Mire MD INC

Organisation Geriatric Medicine (Family Medicine) Physician Lafayette, LA

Practice location

Address: 324 Dulles Dr, Lafayette, LA 70506-3008
Phone: (337) 981-0305
Mailing address: PO Box 61950, Lafayette, LA 70596-1950

Authorised official

Name: Louis Glen Mire
Title: Owner
Phone: (337) 981-0305

Registered specialties

Geriatric Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X Licence 012202 (LA)

Other Family Medicine providers in Louisiana →

Registry record

NPI: 1134328966
Entity type: Organization
NPI issued: 12 Jul 2007
Record last updated: 21 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.