# MELANIE MIER MD A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1154703627
- **Authorized official:** CATHERINE G BEAULLIEU (PRACTICE MANAGER)
- **Authorized official phone:** (337) 504-3335

## Contact information

- **Practice address:** 4809 AMBASSADOR CAFFERY PKWY, SUITE 410, LAFAYETTE, LA 70508-8802
- **Practice address phone:** (337) 504-3335
- **Practice address fax:** (337) 504-4795
- **Mailing address:** 4809 AMBASSADOR CAFFERY PKWY, SUITE 410, LAFAYETTE, LA 70508-8802
- **Mailing address phone:** (337) 504-3335
- **Mailing address fax:** (337) 504-4795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD.207955 | LA | Yes |

## Other

- **Enumeration date:** 06/22/2015
- **Last updated:** 06/22/2015