Healthcare Provider Details

I. General information

NPI: 1013937085
Provider Name (Legal Business Name): LLOYD JOSEPH GUERINGER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 S TYLER ST
COVINGTON LA
70433-2330
US

IV. Provider business mailing address

124 CHESTNUT ST
MANDEVILLE LA
70471-3002
US

V. Phone/Fax

Practice location:
  • Phone: 985-898-4438
  • Fax:
Mailing address:
  • Phone: 504-343-5485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number014261
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: