Organization
JENNIFER WAGUESPACK LABICHE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER C WAGUESPACK-LABICHE MD (OWNER)
(337) 839-2773
Entity
Organization
Contact information
Practice address
803 ALBERTSON PKWY, BROUSSARD, LA 70518-5096
(337) 839-2773
(337) 839-8477
Mailing address
803 ALBERTSON PKWY, BROUSSARD, LA 70518-5096
(337) 839-2773
(337) 839-2776
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/07/2006
Last updated
03/31/2008
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