Individual
DR. VIRGINIA B COREIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5000 AMBASSADOR CAFFERY PKWY BLDG 12, LAFAYETTE, LA 70508-6984
(337) 470-3150
(337) 470-3161
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 989-5061
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12562R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540382
—
LA
Enumeration date
07/07/2005
Last updated
02/22/2023
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