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Organization

J. PROVOST LLC (A PROFESSIONAL CHIROPRACTIC CORPORATION)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILLIAN PROVOST DC (MEMBER)
(337) 247-1513
Entity
Organization

Contact information

Practice address
105 WESTMARK BLVD, LAFAYETTE, LA 70506-7371
(337) 993-2277
Mailing address
2810 CEDARWOOD DR, NEW IBERIA, LA 70560-0415
(337) 247-1513

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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