# LAFAYETTE FOUNDATION CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lafayette Foundation Clinic - Arnaudville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679164123
- **Authorized official:** DR. JASON D LANDRY MD (CEO)
- **Authorized official phone:** (337) 988-9737

## Contact information

- **Practice address:** 119 FUSELIER RD, ARNAUDVILLE, LA 70512-6134
- **Practice address phone:** (337) 754-7301
- **Mailing address:** 121 RUE LOUIS XIV BUILDING 9, SUITE A, LAFAYETTE, LA 70508
- **Mailing address phone:** (337) 988-9737

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2021
- **Last updated:** 01/28/2021