Individual
KIRTLAND DANA SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 SAINT THOMAS ST STE A, LAFAYETTE, LA 70506-4575
(337) 235-7561
(337) 237-8666
Mailing address
113 SAINT THOMAS ST STE A, LAFAYETTE, LA 70506-4575
(337) 235-7561
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
LA 013847
LA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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