Individual
DR. DEREK B BAUMBOUREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
324 E FARREL RD, LAFAYETTE, LA 70508-6928
(337) 470-6590
(337) 470-6595
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 200, LAFAYETTE, LA 70508-6917
(337) 984-2444
(337) 988-8885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022823
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1493708
—
LA
Enumeration date
07/07/2005
Last updated
01/10/2025
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