Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Other names
Jennifer Pugliese MD
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIRK (VICE PRESIDENT)
(337) 289-8951
Entity
Organization
Contact information
Practice address
1460 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 234-3344
Mailing address
PO BOX 62600, DEPT 1721, NEW ORLEANS, LA 70162-2600
(337) 706-1605
(337) 981-9257
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.203103
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887129
—
LA
Enumeration date
07/02/2009
Last updated
10/27/2011
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