Basic Information
| Provider Information | |||||||||
| NPI: | 1265472856 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GALLIEN | ||||||||
| FirstName: | ABBEY | ||||||||
| MiddleName: | LEWIS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 59101 AMBER ST | ||||||||
| Address2: | |||||||||
| City: | SLIDELL | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704613717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9856461580 | ||||||||
| FaxNumber: | 9856461579 | ||||||||
| Practice Location | |||||||||
| Address1: | 42124 VETERANS AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | HAMMOND | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704031427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9855430565 | ||||||||
| FaxNumber: | 9855430567 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 01/05/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 09851R | LA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.