Lynn M. Guidry, MD
Individual provider Active NPI General Practice Physician · Broussard, LA
NPI 1972584746 · NPPES record last updated Mar 29, 2018
Key facts
- NPI
- 1972584746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 015417 (LA)
- Practice address
- 109 St. Nazaire Road
Broussard, LA 70518 - Phone
- (337) 470-7580
- Fax
- (337) 839-0110
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015417 | LA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn M. Guidry MD | Past |
Accepting new patients | |
| L & L Medical & Diagnostic Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 015417 | LA | Yes |
Addresses
Primary practice location
109 St. Nazaire Road
Broussard, LA 70518
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0010
Other practice location 1
705 S Morgan Ave
Broussard, LA 70518-4951
Phone (337) 896-0424
Other providers in Broussard, LA
- Shelly Galland
- Brigitte Luquette Girouard
- Chelsea Caillier Girouard
- Amainte B Godeaux
- Guidry Rehabilitation LLC
- Shawanna Marie Guillory
- David Andrew Hall
- Jessica M. Hanna
- Robin Harbourt
- Faith Harris
All providers in Broussard, LA · General Practice Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.