Provider Demographics
NPI:1457773863
Name:OMOREGBEE, EDUGIE VALENTINE (DPM)
Entity type:Individual
Prefix:DR
First Name:EDUGIE
Middle Name:VALENTINE
Last Name:OMOREGBEE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 HIGHWAY 190
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-5129
Mailing Address - Country:US
Mailing Address - Phone:337-580-7500
Mailing Address - Fax:337-603-0864
Practice Address - Street 1:3501 HIGHWAY 190
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-5129
Practice Address - Country:US
Practice Address - Phone:337-580-7500
Practice Address - Fax:337-603-0864
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-20
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LADPM200076213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery