Provider Demographics
NPI:1265472856
Name:GALLIEN, ABBEY LEWIS (MD)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:LEWIS
Last Name:GALLIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:59101 AMBER ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-3717
Mailing Address - Country:US
Mailing Address - Phone:985-646-1580
Mailing Address - Fax:985-646-1579
Practice Address - Street 1:42124 VETERANS AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1427
Practice Address - Country:US
Practice Address - Phone:985-543-0565
Practice Address - Fax:985-543-0567
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA09851R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics