Lavalais, Gwendolyn L
Lavalais, Gwendolyn L is an sole proprietor health care provider with primary practice located at 2450 N Major Dr , Beaumont TX 77713-9575. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Lavalais, Gwendolyn L can be contacted via phone (409) 981-1800.Contact Information
Primary practice address
2450 N Major Dr
Beaumont TX 77713-9575
Phone: (409) 981-1800
Fax: (409) 981-1890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | M0468 | Texas |
Profile Details
| NPI number | 1396729711 |
|---|---|
| LBN Legal business name | Lavalais, Gwendolyn L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Aug 25th, 2022 - about 2 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 | 1396729711 | NPPES |
| Texas | MEDICAID | 176502601 |
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