# LAFAYETTE HEALTH VENTURES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Plaza Carencro DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679922249
- **Authorized official:** AL PATIN (SVP)
- **Authorized official phone:** (337) 289-8951

## Contact information

- **Practice address:** 917 W GLORIA SWITCH ROAD, LAFAYETTE, LA 70507-2309
- **Practice address phone:** (337) 886-6455
- **Practice address fax:** (337) 886-6459
- **Mailing address:** 121 AUDUBON BLVD, LAFAYETTE, LA 70503-2606

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016