Individual
MARYANNE YACOUB SOURIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1460 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 703-6431
Mailing address
1460 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 703-6431
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
288330
NY
Other
Enumeration date
01/15/2015
Last updated
06/18/2025
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