Individual
DR. KENNETH J LABORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,
Contact information
Practice address
1000 W PINHOOK RD, STE 302, LAFAYETTE, LA 70503-2460
(337) 232-8230
(337) 232-9112
Mailing address
1000 W PINHOOK RD, STE 302, LAFAYETTE, LA 70503-2460
(337) 232-8230
(337) 232-9112
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
013814
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1308030
—
LA
Enumeration date
09/19/2005
Last updated
08/29/2011
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