Organization
ON THE BOULEVARD WALK IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALA DUHON (BILLING MANAGER)
(337) 988-9812
Entity
Organization
Contact information
Practice address
119 1/2 ARNOULD BLVD, LAFAYETTE, LA 70506-6213
(337) 988-9812
(337) 988-9894
Mailing address
119 1/2 ARNOULD BLVD, LAFAYETTE, LA 70506-6213
(337) 988-9812
(337) 988-9894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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