Organization
LOYD H BOULET JR MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOYD HONORE BOULET JR. MD (OWNER)
(337) 942-6324
Entity
Organization
Contact information
Practice address
1270 ATTAKAPAS DR, OPELOUSAS, LA 70570-6549
(337) 942-6324
Mailing address
1270 ATTAKAPAS DR, OPELOUSAS, LA 70570-6549
(337) 942-6324
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
009095
LA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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