Gulf Coast Sport and Spine

NPI #1144731399 in Metairie, Louisiana

Provider Information

NPI Number: 1144731399
Entity Type: Organization
Organization Name: Gulf Coast Sport and Spine
Primary Specialty: Chiropractor
Enumeration Date: Oct 16, 2017
Last Updated: Mar 26, 2018

Practice Location

Address: 3941 HOUMA BLVD STE 2A
City: Metairie
State: Louisiana
ZIP Code: 70006-2920
Phone: (504) 372-4062

Authorized Official

Name: MICHAEL LEBOURGEOIS, DC
Title: OWNER
Phone: (504) 372-4062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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