Provider Demographics
NPI:1720409899
Name:GUIN, JOHN LUCAS (DPT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:LUCAS
Last Name:GUIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 HOMER RD
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-3024
Mailing Address - Country:US
Mailing Address - Phone:318-371-6666
Mailing Address - Fax:318-371-9966
Practice Address - Street 1:906 HOMER RD
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3024
Practice Address - Country:US
Practice Address - Phone:318-371-6666
Practice Address - Fax:318-371-9966
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07571225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1112810Medicaid