MEDICARE: DR. MATTHEW LAGARDE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	337696	LA

General Provider Information

NPI Number	:	1588241806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW LAGARDE MD

Provider Business Mailing Address
First Line	:	1057 PAUL MAILLARD RD
Second Line	:
City	:	LULING
State	:	LA
Zip	:	70070-4349
Country	:	US
Telephone Number	:	985-785-3633
Fax Number	:	985-785-3632

Provider Business Practice Location Address
First Line	:	1057 PAUL MAILLARD RD
Second Line	:
City	:	LULING
State	:	LA
Zip	:	70070-4349
Country	:	US
Telephone Number	:	985-785-3633
Fax Number	:	985-785-3632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	05/14/2026

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