# JEAN C. ANCELET LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jean C. Ancelet MD LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336541440
- **Authorized official:** LISA R ARABIE (OFFICE MANAGER)
- **Authorized official phone:** (337) 237-9009

## Contact information

- **Practice address:** 202 WESTGATE RD, LAFAYETTE, LA 70506-2711
- **Practice address phone:** (337) 237-9009
- **Practice address fax:** (337) 232-1809
- **Mailing address:** 202 WESTGATE RD, LAFAYETTE, LA 70506-2711
- **Mailing address phone:** (337) 237-9009
- **Mailing address fax:** (337) 232-1809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 204344 | LA | Yes |

## Other

- **Enumeration date:** 09/19/2014
- **Last updated:** 09/19/2014