Diana L. Gillmore, M.d.,l.l.c.

NPI #1851679849 in Slidell, Louisiana

Provider Information

NPI Number: 1851679849
Entity Type: Organization
Organization Name: Diana L. Gillmore, M.d.,l.l.c.
Primary Specialty: Surgery
Enumeration Date: Jul 26, 2011
Last Updated: Jul 26, 2011

Practice Location

Address: 985 ROBERT BLVD
Address 2: SUITE 103
City: Slidell
State: Louisiana
ZIP Code: 70458-2063
Phone: (985) 646-1884

Authorized Official

Name: DR. DIANA LEE GILLMORE, M.D.
Title: OWNER/SURGEON
Phone: (985) 646-1884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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