LANCE E BULLOCK, MD, A PROFESSIONAL MEDICAL CORPORATION

GONZALES, LA
NPI1265465397
Entity TypeOrganization
Authorized ContactSHARON F BULLOCK
Office Administrator
225-673-8258
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  09761R)
Enumeration Date2006-07-09
Last Update Date2009-05-21
Business Address
LANCE E BULLOCK, MD, A PROFESSIONAL MEDICAL CORPORATION
3136 S SAINT LANDRY AVE
GONZALES, LA 70737-5801
Phone number: 225-647-7524
Mailing Address
LANCE E BULLOCK, MD, A PROFESSIONAL MEDICAL CORPORATION
37459 ULTIMA PLAZA BLVD, SUITE B, PMB 227
PRAIRIEVILLE, LA 70769-3856
Phone number: 225-673-8258