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Organization

OUR LADY OF LOURDES RMC

Active
Parent organization
OUR LADY OF LOURDES RMC
Other names
Michael Vanderlick MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
OUR LADY OF LOURDES RMC
Authorized official
MRS. KIM HEBERT (CFO)
(337) 470-2593
Entity
Organization

Contact information

Practice address
4809 AMBASSADOR CAFFERY PKWY, SUITE 410, LAFAYETTE, LA 70508-8800
(337) 470-3109
(337) 231-6943
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2593

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/07/2012
Last updated
06/15/2012
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