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Organization

CORMIER CHIROPRACTIC, L.L.C.

Active
Other names
Cormier Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD KEITH CORMIER D.C. (OWNER)
(337) 237-5306
Entity
Organization

Contact information

Practice address
854 KALISTE SALOOM RD, SUITE C, LAFAYETTE, LA 70508-4210
(337) 237-5306
(337) 232-9304
Mailing address
854 KALISTE SALOOM RD, SUITE C, LAFAYETTE, LA 70508-4210
(337) 237-5306
(337) 232-9304

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1319
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11356331
CAQH
LA
01
4330233790
BLUE CROSS BLUE SHIELD OF
LA
01
669530
ACN GROUP
LA
01
7729631
AETNA
LA
Enumeration date
07/25/2006
Last updated
08/22/2020
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