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Gregory Roberts

Non-emergency Medical Transport (VAN) in Lafayette, LA. Individual provider (NPI-1).

NPI number1245934751
StatusActive
Last updated in NPPESMar 28, 2023

Details

NPI
1245934751
Entity type
Individual (NPI-1)
Name
Gregory Roberts
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 28, 2023
Certification date
Mar 28, 2023
Last updated
Mar 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)012099455LAYes

Practice location

1715 12th St
Lafayette, LA 70501-5019

Phone 337-399-3008

Mailing address

1715 12th St
Lafayette, LA 70501-5019

Phone 337-399-3008

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