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Organization
LAFAYETTE BONE & JOINT CLINIC
Active
Organization
LAFAYETTE BONE & JOINT CLINIC
Active
Other names
Sothern Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E COBB MD (PRESIDENT)
(337) 234-5234
Entity
Organization
Contact information
Practice address
1103 KALISTE SALOOM RD, SUITE 104, LAFAYETTE, LA 70508-5783
(337) 289-9129
(337) 289-9131
Mailing address
1103 KALISTE SALOOM RD, SUITE 104, LAFAYETTE, LA 70508-5783
(337) 289-9129
(337) 289-9131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00589
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2252789
AETNA
LA
01
—
4388031460
BLUE CROSS
LA
01
—
4393592250
BLUE CROSS
LA
01
—
7500296
AETNA
LA
Enumeration date
02/02/2006
Last updated
09/17/2013
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