Organization
LA PETITE PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVA MARIE GUIDRY LEJEUNE MD (OWNER)
(337) 366-8616
Entity
Organization
Contact information
Practice address
200 BEAULLIEU DR STE 7, LAFAYETTE, LA 70508-7230
(337) 366-8616
(337) 366-8133
Mailing address
200 BEAULLIEU DR STE 7, LAFAYETTE, LA 70508-7230
(337) 366-8616
(337) 366-8133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116436
—
LA
05
—
2149270
—
LA
Enumeration date
09/19/2019
Last updated
04/14/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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