Individual
MICHELLE W DUMESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
102 ASMA BLVD, BUILDING 3, SUITE 112, LAFAYETTE, LA 70508-3846
(337) 504-2332
(337) 504-4748
Mailing address
91 SETTLERS TRACE BLVD, STE 3, LAFAYETTE, LA 70508-6090
(337) 524-1700
(337) 524-1702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2404687
—
LA
Enumeration date
08/28/2015
Last updated
12/19/2016
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