Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL PATIN (CHIEF ADMINSTRATIVE OFFICER)
(337) 289-8933
Entity
Organization
Contact information
Practice address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 233-5300
Mailing address
PO BOX 53092, LAFAYETTE, LA 70505-3092
(337) 289-8933
(337) 289-8982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1195367
—
LA
01
—
CG2600
RAILROAD MEDICARE
LA
Enumeration date
05/26/2009
Last updated
03/22/2024
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