Individual
DR. JONATHAN LANCE BABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
604 N ACADIA RD STE 207, THIBODAUX, LA 70301-4897
(985) 446-1763
(985) 446-9813
Mailing address
604 N ACADIA RD STE 207, THIBODAUX, LA 70301-4897
(985) 446-1763
(985) 446-9813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.206993
LA
2086S0102X
Surgical Critical Care Physician
MD.206993
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2012
Last updated
06/04/2026
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