Individual
DR. PETER D VIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 CAMELLIA BLVD, SUITE 102, LAFAYETTE, LA 70508-7089
(337) 233-3201
(337) 233-3207
Mailing address
1301 CAMELLIA BLVD, SUITE 102, LAFAYETTE, LA 70508-7089
(337) 233-3201
(337) 233-3207
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15373R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462021
—
LA
Enumeration date
01/25/2006
Last updated
01/12/2015
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