DR. Michael A. Stout, PHD, HCLD

NPI #1346878352 in Gonzales, Louisiana

Provider Information

NPI Number: 1346878352
Entity Type: Individual
Name: DR. Michael A. Stout, PHD, HCLD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Credential: PHD, HCLD
Enumeration Date: Mar 27, 2020
Last Updated: Mar 27, 2020

Practice Location

Address: 40401 BAILEY DR
City: Gonzales
State: Louisiana
ZIP Code: 70737-7168
Phone: (337) 962-7216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Pathology - Laboratory Management, Diplomate — Laboratory Management, Diplomate	246QL0901X
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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