Individual
DR. JEFFREY J LABORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4903
(337) 237-3424
(337) 981-0976
Mailing address
1025 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4903
(337) 237-3424
(337) 981-0976
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
015698
LA
2085R0202X
Diagnostic Radiology Physician
Primary
015698
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1342726
—
LA
Enumeration date
06/02/2006
Last updated
05/24/2011
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