# LAFAYETTE HEALTH VENTURES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAFAYETTE HEALTH VENTURES, INC
- **Other names:** Executive Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699447243
- **Legal business name:** LAFAYETTE HEALTH VENTURES, INC
- **Authorized official:** KIM DOOLEY (VP)
- **Authorized official phone:** (337) 571-1394

## Contact information

- **Practice address:** 1122 SOUTH BERNARD, SUITE C, BROUSSARD, LA 70518-3408
- **Practice address phone:** (337) 703-6476
- **Practice address fax:** (337) 703-6477
- **Mailing address:** PO BOX 919229, DALLAS, TX 75391-9229
- **Mailing address phone:** (337) 289-8944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2021
- **Last updated:** 10/19/2021