Individual provider · Type 1 NPI

Trysten Theresa Bourgeois, BS, HS

Specialist · Lafayette, LA

NPI number 1447944624 Active

Practice location

106 Heymann Blvd
Lafayette, LA 70503-2322

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1447944624

Trysten Theresa Bourgeois, BS, HS's National Provider Identifier is 1447944624, issued on Jun 8, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lafayette, LA. The record was last updated on Jun 8, 2023.