# CONSERVATIVE MEDICAL MANAGEMENT A

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

## Provider details

- **NPI number:** 1376716761
- **Authorized official:** MITZIE B DUHON (OFFICE MANAGER)
- **Authorized official phone:** (337) 269-6335

## Contact information

- **Practice address:** 1103 KALISTE SALOOM RD, SUITE 202, LAFAYETTE, LA 70508-5783
- **Practice address phone:** (337) 269-6335
- **Practice address fax:** (337) 235-2765
- **Mailing address:** 1103 KALISTE SALOOM RD, SUITE 202, LAFAYETTE, LA 70508-5783
- **Mailing address phone:** (337) 269-6335
- **Mailing address fax:** (337) 235-2765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | L10009R | LA | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 12/09/2009
