Individual
DR. JULIAN J. KRAWCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-8800
(337) 769-8660
(337) 769-8661
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-8800
(337) 769-8660
(337) 769-8661
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
14027R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1180131
—
LA
01
—
14027R
STATE MEDICAL LICENSE
LA
01
—
4A144DX68
JULIAN KRAWCZYK MEDICARE PTAN EFFECTIVE 05/19/2012
LA
01
—
5DX68
ONCOLOGICS LLC MEDICARE PTAN EFFECTIVE 05/19/2012
LA
01
—
PTAN 330560ZLAC
LINKED TO GROUP PTAN 381439 EFFECTIVE 10-31-14
LA
Enumeration date
07/23/2006
Last updated
03/09/2016
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