Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Other names
Neurology Services
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN HUVAL (VICE PRESIDENT)
(337) 289-8972
Entity
Organization
Contact information
Practice address
1211 COOLIDGE BLVD, SUITE 401, LAFAYETTE, LA 70503-2636
(337) 289-8414
(337) 289-8970
Mailing address
1211 COOLIDGE BLVD, SUITE 401, LAFAYETTE, LA 70503-2636
(337) 289-8414
(337) 289-8970
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706451
—
LA
01
—
CG2600
RAILROAD MEDICARE
LA
Enumeration date
07/03/2006
Last updated
05/16/2008
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