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Gerald Declouet, LOTR

NPI 1073200663 · on the registry since 2023

Practice

Address
4190 Gerstner Memorial Blvd
Lake Charles, LA 70607
Phone
(337) 240-9730
Organisation at this address
Commcare Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana