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ROSEMARY ST. CLERGY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2130 KALISTE SALOOM RD, SUITE 101, LAFAYETTE, LA 70508-6143
(337) 981-5085
(337) 881-5466
Mailing address
2130 KALISTE SALOOM RD, SUITE 101, LAFAYETTE, LA 70508-6143
(337) 981-5085
(337) 881-5466

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017877
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1355569
LA
01
P00972527
MEDICARE RR
LA
Enumeration date
07/12/2006
Last updated
11/11/2011
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