| Lionel Guillaume | |
|
3018 Old Minden Rd Suite 1212 Bossier City LA 71112 | |
| (318) 747-1665 | |
| (318) 747-1597 |
| Full Name | Lionel Guillaume |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3018 Old Minden Rd, Bossier City, Louisiana |
| Authorized Official Name and Position | Lionel Guillaume (DOCTOR) |
| Authorized Official Contact | 3187471665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lionel Guillaume 3018 Old Minden Rd Suite 1212 Bossier City LA 71112 Ph: (318) 747-1665 | Lionel Guillaume 3018 Old Minden Rd Suite 1212 Bossier City LA 71112 Ph: (318) 747-1665 |
| NPI Number | 1871764811 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871764811 | NPI | - | NPPES |
| 1343765 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD017032 (Louisiana) | Primary |
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