Individual
DR. ANDRE KEATH PERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1216 CAMELLIA BLVD, LAFAYETTE, LA 70508-6667
(337) 769-0069
(337) 769-0068
Mailing address
PO BOX 62600, DEPT 1721, NEW ORLEANS, LA 70162-2600
(337) 706-1645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009981
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100943
—
LA
Enumeration date
07/07/2005
Last updated
02/20/2013
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