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Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Parent organization
LAFAYETTE HEALTH VENTURES, INC
Other names
Executive Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAFAYETTE HEALTH VENTURES, INC
Authorized official
KIM DOOLEY (VP)
(337) 571-1394
Entity
Organization
Contact information
Practice address
1122 SOUTH BERNARD, SUITE C, BROUSSARD, LA 70518-3408
(337) 703-6476
(337) 703-6477
Mailing address
PO BOX 919229, DALLAS, TX 75391-9229
(337) 289-8944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/19/2021
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