Organization
LAFAYETTE HEALTH VENTURES INC
Active
Parent organization
LAFAYETTE HEALTH VENTURES INC
Other names
Brent Mahoney MD, PhD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAFAYETTE HEALTH VENTURES INC
Authorized official
CAROLYN HUVAL (VICE PRESIDENT)
(337) 289-8969
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR STE 102, LAFAYETTE, LA 70503-2852
(337) 289-8067
(337) 289-8066
Mailing address
PO BOX 53092, LAFAYETTE, LA 70505-3092
(337) 706-1533
(337) 769-7164
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
202954
LA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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