Organization
JOHN J MICKEY, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE THOMASSEE (MANAGER)
(337) 232-2900
Entity
Organization
Contact information
Practice address
110 HOSPITAL DR, LAFAYETTE, LA 70503-2819
(337) 232-2900
(337) 232-2990
Mailing address
110 HOSPITAL DR, LAFAYETTE, LA 70503-2819
(337) 232-2900
(337) 232-2990
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14418
LA
Other
Enumeration date
12/11/2006
Last updated
09/11/2007
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