# OCCUPATIONAL & INTEGRATIVE MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Occupational & Integrative Medicine, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477398956
- **Authorized official:** MRS. DONNA B WILSON FNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (337) 534-0420

## Contact information

- **Practice address:** 221 SOUTHPARK RD STE B, LAFAYETTE, LA 70508-3611
- **Practice address phone:** (337) 534-0420
- **Practice address fax:** (337) 806-9576
- **Mailing address:** 221 SOUTHPARK RD STE B, LAFAYETTE, LA 70508-3611
- **Mailing address phone:** (337) 534-0420
- **Mailing address fax:** (337) 806-9576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/27/2024
- **Last updated:** 10/31/2024