Organization
LSU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA LATIOLAIS (HOUSE OFFICER)
(337) 261-6789
Entity
Organization
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6789
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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