# THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thibodaux Regional Network Development Corp. - Pathology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437664646
- **Authorized official:** BONNIE LOKER (ASSISTANT FINANCIAL OFFICER)
- **Authorized official phone:** (985) 493-4778

## Contact information

- **Practice address:** 602 N ACADIA RD, THIBODAUX, LA 70301-4823
- **Practice address phone:** (985) 493-4544
- **Mailing address:** PO BOX 5478, THIBODAUX, LA 70302-5478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2017
- **Last updated:** 09/05/2023