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Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Other names
Jennifer Pugliese MD
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIRK (VICE PRESIDENT)
(337) 289-8951
Entity
Organization
Contact information
Practice address
1460 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 234-3344
Mailing address
PO BOX 62600, DEPT 1721, NEW ORLEANS, LA 70162-2600
(337) 706-1605
(337) 981-9257
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.203103
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887129
—
LA
Enumeration date
07/02/2009
Last updated
10/27/2011
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