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Organization

LAFAYETTE HEALTH VENTURES INC.

Active
Other names
Advanced Medical Supplies & Services
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL MOLBERT (VICE PRESIDENT)
(337) 289-7138
Entity
Organization

Contact information

Practice address
1010 COOLIDGE BLVD, LAFAYETTE, LA 70503-2436
(337) 289-8929
(337) 289-8928
Mailing address
1010 COOLIDGE BLVD, LAFAYETTE, LA 70503-2436
(337) 289-8929
(337) 289-8928

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1660141
LA
Enumeration date
07/06/2006
Last updated
04/05/2011
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