Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lance E Bullock, MD, a Professional Medical Corporation

Organization Psychiatry Physician · NPI 1265465397

Lance E Bullock, MD, a Professional Medical Corporation provides Psychiatry Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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

Other providers in Gonzales