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Organization
OUR LADY OF LOURDES REGIONAL
Active
Organization
OUR LADY OF LOURDES REGIONAL
Active
Parent organization
OUR LADY OF LOURDES REGIONAL
Other names
John S Thibodeaux MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES REGIONAL
Authorized official
MRS. KIM HEBERT (CFO)
(337) 470-2593
Entity
Organization
Contact information
Practice address
402 E EDWARD ST, ERATH, LA 70533-4114
(337) 937-5803
(337) 937-5806
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13009
LA
Other
Enumeration date
06/04/2012
Last updated
10/16/2012
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