Brian Gamborg
NPI #1295795755 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1295795755
- Entity Type
- Individual
- Name
- Brian Gamborg
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 27, 2006
- Last Updated
- Apr 29, 2022
Practice Location
- Address
- 1525 OAK PARK BLVD
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-8849
- Phone
- (337) 494-6767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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