Organization
SOUTHERN OBGYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER PUGLIESE M.D. (M.D./PARTNER)
(337) 591-0147
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR STE 410, LAFAYETTE, LA 70503-2852
(337) 235-4460
Mailing address
155 HOSPITAL DR STE 410, LAFAYETTE, LA 70503-2852
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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