Organization
DIANA FERNANDEZ, M.D. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA FERNANDEZ M.D. (OWNER)
(337) 984-5911
Entity
Organization
Contact information
Practice address
1103 KALISTE SALOOM RD, SUITE 206, LAFAYETTE, LA 70508-4600
(337) 984-5911
Mailing address
1103 KALISTE SALOOM RD., SUITE 206, LAFAYETTE, LA 70508
(337) 984-5911
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
11/17/2008
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