Organization
OUR LADY OF LOURDES DBA JAMES MWATIBO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLILAM BARROW (CEO)
(337) 289-2000
Entity
Organization
Contact information
Practice address
850 N PIERCE ST STE D, LAFAYETTE, LA 70501-2848
(337) 233-2115
(337) 237-9075
Mailing address
850 N PIERCE ST STE D, LAFAYETTE, LA 70501-2848
(337) 233-2115
(337) 237-9075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14561R
LA
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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