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Organization
LAFAYETTE HEALTH VENTURES, INC,
Active
Organization
LAFAYETTE HEALTH VENTURES, INC,
Active
Other names
Family Health Plaza South
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIRK (VICE PRESIDENT)
(337) 289-8951
Entity
Organization
Contact information
Practice address
2810 BONIN RD, YOUNGSVILLE, LA 70592-5600
(337) 857-5765
Mailing address
2810 BONIN RD, YOUNGSVILLE, LA 70592-5600
(337) 857-5765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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