Individual
EDGARDO R CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1131 RUE DU BELIER, LAFAYETTE, LA 70506
(337) 981-1400
(337) 981-6611
Mailing address
PO BOX 3912, 1131 RUE DU BELIER, LAFAYETTE, LA 70506
(337) 981-1400
(337) 981-6611
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11294R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11294R
STATE LIC
—
05
—
1664448
—
LA
Enumeration date
10/26/2006
Last updated
07/03/2008
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