# O E REAVILL M D, APMC

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

## Provider details

- **NPI number:** 1063432524
- **Authorized official:** DR. OLGA E REAVILL M D (OWNER)
- **Authorized official phone:** (337) 264-1000

## Contact information

- **Practice address:** 2501 W PINHOOK RD, LAFAYETTE, LA 70508-3346
- **Practice address phone:** (337) 264-1000
- **Practice address fax:** (337) 264-7830
- **Mailing address:** 2501 W PINHOOK RD, LAFAYETTE, LA 70508-3346
- **Mailing address phone:** (337) 264-1000
- **Mailing address fax:** (337) 264-7830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 07184R | LA | — |
| 261QP3300X | Pain Clinic/Center | 07184R | LA | — |
| 261QX0100X | Occupational Medicine Clinic/Center | 07184R | LA | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 09/11/2025