Provider Demographics
NPI:1811319353
Name:LAFLEUR, GARY SR (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:
Last Name:LAFLEUR
Suffix:SR
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 1:351 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-4138
Mailing Address - Country:US
Mailing Address - Phone:337-457-3702
Mailing Address - Fax:
Practice Address - Street 1:351 N 6TH ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-4138
Practice Address - Country:US
Practice Address - Phone:337-457-3702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9838208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery