Organization
SOLA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WARREN PRATT M.D. (OWNER)
(337) 989-8080
Entity
Organization
Contact information
Practice address
200 LIBERTY AVE, LAFAYETTE, LA 70508
(337) 989-8080
(337) 981-0913
Mailing address
4650 AMBASSADOR CAFFERY PKWY STE 105, LAFAYETTE, LA 70508-6926
(337) 989-8080
(337) 981-0913
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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