Healthcare Provider Details
I. General information
NPI: 1427998384
Provider Name (Legal Business Name): BAYOUCHIRO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
160 HIGHWAY 3161
CUT OFF LA
70345-3371
US
IV. Provider business mailing address
PO BOX 238
LOCKPORT LA
70374-0238
US
V. Phone/Fax
- Phone: 985-632-4156
- Fax: 985-632-4156
- Phone: 985-632-4156
- Fax: 985-632-5510
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LANCE
P.
BAYE
Title or Position: OWNER
Credential: DC
Phone: 985-632-4156