Provider Demographics
NPI:1871807263
Name:DELAFOSSE, GINGER NICOLE (OD)
Entity type:Individual
Prefix:DR
First Name:GINGER
Middle Name:NICOLE
Last Name:DELAFOSSE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-2906
Mailing Address - Country:US
Mailing Address - Phone:337-327-8447
Mailing Address - Fax:318-405-1334
Practice Address - Street 1:508 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-2906
Practice Address - Country:US
Practice Address - Phone:337-327-8447
Practice Address - Fax:318-405-1334
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1584-617T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist