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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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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- Samuel Henderson Shuffler, MDSpecialist Lafayette, LA NPI 1104845999
- Juan M. Fukuda, MDSpecialist Lafayette, LA NPI 1154314904
- Walter P. Borg, MDSpecialist Lafayette, LA NPI 1154336808
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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.