Dr. Louis Glen Mire
Family Doctor - Geriatric Medicine
2390 W Congress St
Lafayette
, Louisiana 70506-4205
Dr. Louis Glen Mire
Family Doctor - Geriatric Medicine
2390 W Congress St
Lafayette
, Louisiana 70506-4205
(337) 261-6662
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Louis Glen Mire
- 2390 W Congress St
- Lafayette, LA
- Zip : 70506-4205
- Fax : (337) 261-6662
- Phone : (337) 261-6690
Second Address
- Dr. Louis Glen Mire
- 2390 W Congress St
- Lafayette, LA
- Zip : 70506-4205
- Fax : (337) 261-6662
- Phone : (337) 261-6690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 12202 | LA |
National Provider Identifier
| NPI | 1366468084 |
|---|---|
| Provider Name | Dr. Louis Glen Mire |
| First Address | Lafayette, LA 70506-4205 |
| Second Address | Lafayette, LA 70506-4205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 12/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1197386 | (05) | LA |
| 380001653 | RAILROAD MEDICARE (01) | LA |
| E35117 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.