# LOUIS C. BLANDA, JR., MD, APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053503896
- **Authorized official:** MELINDA L ARNOLD (INURANCE SUPERVISOR)
- **Authorized official phone:** (337) 267-1359

## Contact information

- **Practice address:** 1103 KALISTE SALOOM ROAD, SUITE 100, LAFAYETTE, LA 70508-2638
- **Practice address phone:** (337) 234-5234
- **Practice address fax:** (337) 235-2121
- **Mailing address:** 1103 KALISTE SALOOM ROAD, SUITE 100, LAFAYETTE, LA 70508-2638
- **Mailing address phone:** (337) 234-5234
- **Mailing address fax:** (337) 235-2121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 11186 | LA | Yes |

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 03/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1117579 | — | LA |
| 01 | — | 200000951 | RAILROAD | LA |
| 01 | — | 434602838B | BLUE CROSS | LA |