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Organization

LOUIS C. BLANDA, JR., MD, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA L ARNOLD (INURANCE SUPERVISOR)
(337) 267-1359
Entity
Organization

Contact information

Practice address
1103 KALISTE SALOOM ROAD, SUITE 100, LAFAYETTE, LA 70508-2638
(337) 234-5234
(337) 235-2121
Mailing address
1103 KALISTE SALOOM ROAD, SUITE 100, LAFAYETTE, LA 70508-2638
(337) 234-5234
(337) 235-2121

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11186
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1117579
LA
01
200000951
RAILROAD
LA
01
434602838B
BLUE CROSS
LA
Enumeration date
08/15/2007
Last updated
03/15/2010
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