Individual
LENA OPITZ SEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 PATRIOT ST, STE 101, LAFAYETTE, LA 70508-6831
(337) 981-2125
(337) 981-2174
Mailing address
105 PATRIOT ST, STE 101, LAFAYETTE, LA 70508-6831
(337) 981-2125
(337) 981-2174
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200041
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598739
—
LA
Enumeration date
12/13/2006
Last updated
06/07/2016
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