Fautheree, Gregory Lee
Fautheree, Gregory Lee is an individual health care provider with primary practice located at 10101 Park Rowe Ave Ste 200 , Baton Rouge LA 70810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Fautheree, Gregory Lee can be contacted via phone (225) 769-2200.Contact Information
Primary practice address
10101 Park Rowe Ave Ste 200
Baton Rouge LA 70810
Phone: (225) 769-2200
Fax: (225) 768-2185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD.203804 | Louisiana |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | TRN6823 | Florida |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME105666 | Florida |
Profile Details
| NPI number | 1942385703 |
|---|---|
| LBN Legal business name | Fautheree, Gregory Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Mar 25th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942385703 | NPPES |
| Louisiana | MEDICAID | 2112562 | |
| Louisiana | MEDICAID | 001635000 |
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