Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lance E Bullock, MD, a Professional Medical Corporation

Organization Psychiatry Physician · NPI 1265465397

Lance E Bullock, MD, a Professional Medical Corporation is a Psychiatry Physician in Gonzales, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006

Practice location Address checks out

3136 S Saint Landry Ave
Gonzales, LA 70737-5801
Phone: (225) 647-7524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 09761R (LA)

Record details

NPI number1265465397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Bullock — Office Administrator · (225) 673-8258
NPI enumeratedJuly 9, 2006
Last updated in NPPESMay 21, 2009
Mailing address37459 Ultima Plaza Blvd, Suite B, Pmb 227, Prairieville, LA 70769-3856

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