Individual
CRAIG W MANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY STE 302, LAFAYETTE, LA 70508-6950
(337) 470-3580
(337) 470-3586
Mailing address
3311 PRESCOTT RD STE 312, ALEXANDRIA, LA 71301-3984
(318) 528-1998
(318) 767-9931
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05317
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348406
—
LA
Enumeration date
07/02/2007
Last updated
05/11/2021
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