Organization
PREMIER PEDIATRICS OF ACADIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN GAST (BILLING MANAGER)
(985) 635-6943
Entity
Organization
Contact information
Practice address
1512 CHEMIN METAIRIE RD, SUITE B, YOUNGSVILLE, LA 70592-5382
(337) 237-1252
(985) 635-6948
Mailing address
118 HOSPITAL DR, LAFAYETTE, LA 70503-2819
(337) 237-1252
(985) 635-6948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.205011
LA
Other
Enumeration date
07/21/2016
Last updated
10/20/2016
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