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Individual

REBECCA JOHNSON MENARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
315 S COLLEGE RD, STE 100, LAFAYETTE, LA 70503-3212
(337) 235-6601
(337) 232-0772
Mailing address
804 PELICAN RIDGE CV, CARENCRO, LA 70520-5863
(337) 278-1079

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6550
LA

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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