# ON THE BOULEVARD WALK IN CLINIC

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

## Provider details

- **NPI number:** 1437426384
- **Authorized official:** KALA DUHON (BILLING MANAGER)
- **Authorized official phone:** (337) 988-9812

## Contact information

- **Practice address:** 119 1/2 ARNOULD BLVD, LAFAYETTE, LA 70506-6213
- **Practice address phone:** (337) 988-9812
- **Practice address fax:** (337) 988-9894
- **Mailing address:** 119 1/2 ARNOULD BLVD, LAFAYETTE, LA 70506-6213
- **Mailing address phone:** (337) 988-9812
- **Mailing address fax:** (337) 988-9894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2011
- **Last updated:** 11/21/2011