Individual
STEPHEN DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 571-1396
Mailing address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN152753
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
233968
LA
Other
Enumeration date
07/17/2023
Last updated
01/22/2024
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