| Organization Name: | DR JONATHAN J GISCLAIR APMC DBA LAFOURCHE PODIATRY CLINIC |
| NPI Number: | 1386832822 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN JAMES GISCLAIR (PRESIDENT) |
| Mailing Address: | 16148 W Main St Cut Off |
| State: | LA US |
| Postal Code: | 703453511 |
| Phone Number: | 9853253668 |
| Fax Number: | 9853253670 |
| NPI Enumeration Date: | 10/10/2007 |
| NPI Last Update Date: | 01/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | PD0110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |