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Organization
LAFAYETTE HEALTH VENTURES INC
Active
Organization
LAFAYETTE HEALTH VENTURES INC
Active
Other names
dba Family Health Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIRK (VICE PRESIDENT)
(337) 289-8951
Entity
Organization
Contact information
Practice address
1216 CAMELLIA BLVD, LAFAYETTE, LA 70508-6667
(337) 769-0069
(337) 769-0068
Mailing address
1216 CAMELLIA BLVD, LAFAYETTE, LA 70508-6667
(337) 769-0069
(337) 769-0068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
04/15/2013
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