Organization
WOMEN'S AND CHILDREN'S PATHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN MARSHAK MD (PARTNER/MD)
(337) 261-5151
Entity
Organization
Contact information
Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 261-5151
Mailing address
PO BOX 52069, LAFAYETTE, LA 70505-2069
(337) 261-5151
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443905
—
LA
01
—
CH2062
RAILROAD MEDICARE
LA
Enumeration date
10/03/2005
Last updated
10/23/2007
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