Organization · Type 2 NPI
DR Jonathan J Gisclair Apmc dba Lafourche Podiatry Clinic
Foot Surgery Podiatrist · Cut Off, LA
NPI number
1386832822
Active
Practice location
16148 W Main St
Cut Off, LA 70345-3511
Fax (985) 325-3670
Mailing address
PO Box 1759, Department 952
Houston, TX 77251-1759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | PD0110 (LA) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1386832822
DR Jonathan J Gisclair Apmc dba Lafourche Podiatry Clinic's National Provider Identifier is 1386832822, issued on Oct 10, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Cut Off, LA. The record was last updated on Jan 15, 2009.