Individual
DR. STEPHEN J. DELATTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 DRURY LANE, LAFAYETTE, LA 70508
(337) 269-4949
(337) 269-4950
Mailing address
100 DRURY LANE, LAFAYETTE, LA 70508
(337) 269-4949
(337) 269-4950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD200512
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1590347
—
LA
Enumeration date
07/25/2006
Last updated
09/25/2019
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