Organization
MICHEAL K. JUDICE M.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEITH JUDICE I M.D. (OWNER)
(337) 989-2322
Entity
Organization
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6949
(337) 989-2322
(337) 981-0183
Mailing address
4630 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6949
(337) 989-2322
(337) 981-0183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940437
—
LA
Enumeration date
07/23/2007
Last updated
07/23/2007
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