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Organization
O E REAVILL M D, APMC
Active
Organization
O E REAVILL M D, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA E REAVILL M D (OWNER)
(337) 264-1000
Entity
Organization
Contact information
Practice address
2501 W PINHOOK RD, LAFAYETTE, LA 70508-3346
(337) 264-1000
(337) 264-7830
Mailing address
2501 W PINHOOK RD, LAFAYETTE, LA 70508-3346
(337) 264-1000
(337) 264-7830
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
07184R
LA
261QP3300X
Pain Clinic/Center
07184R
LA
261QX0100X
Occupational Medicine Clinic/Center
Primary
07184R
LA
Other
Enumeration date
07/20/2006
Last updated
09/11/2025
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