# LAFAYETTE HEALTH VENTURES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jennifer Pugliese MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427287176
- **Authorized official:** BRIAN KIRK (VICE PRESIDENT)
- **Authorized official phone:** (337) 289-8951

## Contact information

- **Practice address:** 1460 S COLLEGE RD, LAFAYETTE, LA 70503-2912
- **Practice address phone:** (337) 234-3344
- **Mailing address:** PO BOX 62600, DEPT 1721, NEW ORLEANS, LA 70162-2600
- **Mailing address phone:** (337) 706-1605
- **Mailing address fax:** (337) 981-9257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD.203103 | LA | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 10/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1887129 | — | LA |