Gerard M. Victoriano Jr., PA
Physician Assistant in Lake Charles, LA. Individual provider (NPI-1).
NPI number1447585583
StatusActive
Last updated in NPPESOct 7, 2009
Details
- NPI
- 1447585583
- Entity type
- Individual (NPI-1)
- Name
- Gerard M. Victoriano Jr.
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2009
- Last updated
- Oct 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.200317 | LA | Yes |
Practice location
524 Dr Michael Debakey DrLake Charles, LA 70601-5725
Phone 337-491-7709 · Fax 337-491-7157
Mailing address
14050 Nw 14th StSuite 190
Sunrise, FL 33323-2865
Phone 800-424-3672 · Fax 954-377-3042
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All 34 Physician Assistant providers in Lake Charles · All 3,953 providers in Lake Charles
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