Organization
MICHAEL R. CAVANAUGH, D.C. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CAVANAUGH (OFFICE MANAGER)
(337) 984-5852
Entity
Organization
Contact information
Practice address
105 INDEPENDENCE BLVD, STE.3, LAFAYETTE, LA 70506-8710
(337) 984-5852
(337) 984-5851
Mailing address
105 INDEPENDENCE BLVD, STE.3, LAFAYETTE, LA 70506-8710
(337) 984-5852
(337) 984-5851
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1951617
—
LA
Enumeration date
03/27/2007
Last updated
10/07/2010
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