Provider Demographics
NPI:1205044757
Name:GIROUARD, BRIGITTE LUQUETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:LUQUETTE
Last Name:GIROUARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 ALBERTSON PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-4350
Mailing Address - Country:US
Mailing Address - Phone:337-837-2664
Mailing Address - Fax:337-837-2551
Practice Address - Street 1:805 ALBERTSON PKWY STE B
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-4350
Practice Address - Country:US
Practice Address - Phone:337-837-2664
Practice Address - Fax:337-837-2551
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202732207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine