# SW LOUISIANA INTERNAL MEDICINE LLC

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

## Provider details

- **NPI number:** 1376144501
- **Authorized official:** DR. EDWARD KEMP COREIL MD (PARTNER)
- **Authorized official phone:** (337) 257-2838

## Contact information

- **Practice address:** 105 PATRIOT ST STE 202, LAFAYETTE, LA 70508-6831
- **Practice address phone:** (337) 257-2838
- **Mailing address:** 105 PATRIOT ST STE 202, LAFAYETTE, LA 70508-6831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2020
- **Last updated:** 11/04/2020
