Individual
MARK A. ST. CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 JEFFERSON ST, LAFAYETTE, LA 70501-8556
(337) 261-0734
Mailing address
2100 JEFFERSON ST, LAFAYETTE, LA 70501-8556
(337) 261-0734
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
018991
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1365963
—
LA
Enumeration date
05/19/2006
Last updated
04/15/2008
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