Organization
OCCUPATIONAL & INTEGRATIVE MEDICINE, LLC
Active
Other names
Occupational & Integrative Medicine, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA B WILSON FNP-C (NURSE PRACTITIONER)
(337) 534-0420
Entity
Organization
Contact information
Practice address
221 SOUTHPARK RD STE B, LAFAYETTE, LA 70508-3611
(337) 534-0420
(337) 806-9576
Mailing address
221 SOUTHPARK RD STE B, LAFAYETTE, LA 70508-3611
(337) 534-0420
(337) 806-9576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
06/27/2024
Last updated
10/31/2024
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