# ACADIANA ENDOCRINOLOGY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871881698
- **Authorized official:** DANIEL G STOUT MD (OWNER)
- **Authorized official phone:** (504) 615-8742

## Contact information

- **Practice address:** 2730 AMBASSADOR CAFFERY PKWY, 201, LAFAYETTE, LA 70506-5939
- **Practice address phone:** (504) 615-8742
- **Mailing address:** 2730 AMBASSADOR CAFFERY PKWY, 201, LAFAYETTE, LA 70506-5939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2011
- **Last updated:** 07/13/2011