Individual
TANIA TODOROVA STAYKOVA-TCHAKAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 CYPRESS ST, SULPHUR, LA 70663-5053
(800) 893-9698
Mailing address
200 CORPORATE BLVD, STE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200306
LA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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