Provider Demographics
NPI:1285070995
Name:FORET, GERALD LEE (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:LEE
Last Name:FORET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:43011 VICTORY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-5129
Mailing Address - Country:US
Mailing Address - Phone:985-839-4828
Mailing Address - Fax:985-839-4828
Practice Address - Street 1:43011 VICTORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-5129
Practice Address - Country:US
Practice Address - Phone:985-839-4828
Practice Address - Fax:985-839-4828
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.008946207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine