Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | 199921 | LA |
NPI | 1134216518 |
---|---|
Provider Name | Ariadne A Gauthier |
First Address | Lafayette, LA 70508-6917 |
Second Address | Lafayette, LA 70508-6917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 07/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1376542506 | BUSINESS NPI (01) | LA |
1447382 | (05) | LA |
I26289 | (02) | LA |