Lasala, Gabriel

Lasala, Gabriel is an individual health care provider with primary practice located at 101 Judge Tanner Blvd Ste 300 , Covington LA 70433-7506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lasala, Gabriel can be contacted via phone (985) 867-2100.

Contact Information

Primary practice address
101 Judge Tanner Blvd Ste 300 Covington LA 70433-7506
Fax: (985) 871-1548
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10402R Louisiana

Profile Details

NPI number 1477534295
LBN Legal business name Lasala, Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Feb 15th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477534295 NPPES
Louisiana MEDICAID 1967297

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