# NORMAN E ANSEMAN JR MD, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1073648499
- **Authorized official:** DR. NORMAN EUGENE ANSEMAN JR. M.D. (PRESIDENT)
- **Authorized official phone:** (337) 237-3637

## Contact information

- **Practice address:** 1101 S COLLEGE RD STE 206, LAFAYETTE, LA 70503-3038
- **Practice address phone:** (337) 237-3637
- **Practice address fax:** (337) 237-1757
- **Mailing address:** PO BOX 52724, LAFAYETTE, LA 70505-2724
- **Mailing address phone:** (337) 237-3637
- **Mailing address fax:** (337) 237-1757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 012249 | LA | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 12/07/2011