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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY D LORD, MD

Deactivated Sole Proprietor

GREGORY D LORD, MD is a General Practice healthcare provider located in LEESVILLE, Louisiana. NPI 1639162290 is deactivated in the NPPES registry. Verify at CMS.

General Practice · LEESVILLE, LA

This NPI has been deactivated. The record was deactivated on March 23, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1639162290
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2005 (0.56438356164384 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 23, 2006
License
016350 (LA)
Sole Proprietor
Yes

Practice Information

Address
301 W FERTITTA BLVD STE 1
LEESVILLE, LA, 714464665
Browse LA providers · Browse ZIP 71446
Phone
3372380167
Fax
3372380574
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in LEESVILLE, LA

Name Credential NPI
AMARIS NAVEDO M.D. 1225258122
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.