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Organization
OUR LADY OF LOURDES DBA JAMES MWATIBO, M.D.
Active
Organization
OUR LADY OF LOURDES DBA JAMES MWATIBO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLILAM BARROW (CEO)
(337) 289-2000
Entity
Organization
Contact information
Practice address
850 N PIERCE ST STE D, LAFAYETTE, LA 70501-2848
(337) 233-2115
(337) 237-9075
Mailing address
850 N PIERCE ST STE D, LAFAYETTE, LA 70501-2848
(337) 233-2115
(337) 237-9075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14561R
LA
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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