Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD.203075 | LA |
NPI | 1225239478 |
---|---|
Provider Name | Dr. Rubee Anne Deleon Gugol |
First Address | Lake Charles, LA 70605-4139 |
Second Address | Lake Charles, LA 70605-4139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 03/07/2019 |