Provider Demographics
NPI:1770686875
Name:MES, LOUIS G (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:G
Last Name:MES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 COOLIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2433
Mailing Address - Country:US
Mailing Address - Phone:337-504-4336
Mailing Address - Fax:337-269-4950
Practice Address - Street 1:917 COOLIDGE BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2433
Practice Address - Country:US
Practice Address - Phone:337-504-4336
Practice Address - Fax:337-269-4950
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04148R2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1190438Medicaid
LA53300B194Medicare PIN
LA1190438Medicaid