GARRETT LANE VICK

HOUMA, LA
NPI1154708105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: LA  302659)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-29
Last Update Date2026-01-22
Business Address
Mr. GARRETT LANE VICK
605 ENTERPRISE DR STE C
HOUMA, LA 70360-5405
Phone number: 985-360-3755
Mailing Address
Mr. GARRETT LANE VICK
213 BELMERE LUXURY CT
HOUMA, LA 70360-2960
Phone number: 903-272-7950
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