OrganizationActive
L Glen Mire MD Inc
NPI 1134328966 · Geriatric Medicine (Family Medicine) Physician · Lafayette, LA
Provider details
- NPI number
- 1134328966
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Louis Mire, Owner(337) 981-0305
- License
- 012202 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
324 Dulles Dr
Lafayette, LA 70506-3008
Phone: (337) 981-0305
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 61950
Lafayette, LA 70596-1950
Registry dates
- Enumerated
- 2007-07-12
- Last updated
- 2008-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.