Organization
DERMATOLOGY AND ALLERGY CLINIC OF SOUTH LOUISIANA LTD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIEN A STEWART MD (DIRECTOR)
(337) 981-7546
Entity
Organization
Contact information
Practice address
4212 W CONGRESS ST, STE 2300, LAFAYETTE, LA 70506-6765
(337) 981-7546
(337) 988-2037
Mailing address
PO BOX 53709, LAFAYETTE, LA 70505-3709
(337) 981-7546
(337) 988-2037
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941344
—
LA
Enumeration date
07/10/2006
Last updated
03/31/2008
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