Individual
NICOLE ORGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CAJUNDOME BLVD, LAFAYETTE, LA 70506-4271
(225) 335-3636
Mailing address
508 SAINT PATRICK ST, LAFAYETTE, LA 70506-4418
(225) 335-3636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770002795020602
—
LA
Enumeration date
01/13/2019
Last updated
01/13/2019
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