Basic Information
| Provider Information | |||||||||
| NPI: | 1972584746 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUIDRY | ||||||||
| FirstName: | LYNN | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5959 S SHERWOOD FOREST BLVD | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708166038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2255260010 | ||||||||
| FaxNumber: | 2257659298 | ||||||||
| Practice Location | |||||||||
| Address1: | 109 ST. NAZAIRE ROAD | ||||||||
| Address2: | |||||||||
| City: | BROUSSARD | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3374707580 | ||||||||
| FaxNumber: | 3378390110 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2005 | ||||||||
| LastUpdateDate: | 03/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 015417 | LA | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.