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Individual

MR. FRANK R BACQUE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
602 SAINT LANDRY ST, LAFAYETTE, LA 70506-4628
(337) 235-1200
(337) 237-1021
Mailing address
602 SAINT LANDRY ST, LAFAYETTE, LA 70506-4628
(337) 235-1200
(337) 237-1021

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011987
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1308749
LA
Enumeration date
01/16/2006
Last updated
07/08/2007
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