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Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Other names
Cancer Center Of Acadiana at Lafayette General
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DOOLEY (COO)
(337) 571-1394
Entity
Organization
Contact information
Practice address
1211 COOLIDGE BLVD, SUITE 101, LAFAYETTE, LA 70503
(337) 289-8044
(337) 289-8401
Mailing address
PO BOX 53092, LAFAYETTE, LA 70505-3092
(337) 289-8933
(337) 289-8982
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115103
—
LA
01
—
CG2600
RAILROAD MEDICARE
LA
Enumeration date
02/12/2010
Last updated
06/21/2023
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