Organization
LOUISIANA KIDNEY UPDATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY P BLALOCK M.D. (PARTNER/PHYSICIAN)
(337) 257-4918
Entity
Organization
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY FL 4, LAFAYETTE, LA 70508-7265
(337) 839-9880
Mailing address
523 BEVERLY DR, LAFAYETTE, LA 70503-3113
(337) 234-5541
(337) 593-8330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
03/17/2018
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