Individual
KERI COPPONEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4212 W CONGRESS ST, LAFAYETTE, LA 70506-6765
(337) 703-4481
Mailing address
PO BOX 919229, DALLAS, TX 75391-9229
(337) 289-8944
(337) 571-0030
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME125101
FL
Other
Enumeration date
03/19/2010
Last updated
09/19/2019
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