Individual
MR. CRAIG ALAN ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 PHLOX DR, LAFAYETTE, LA 70507-4538
(337) 654-1457
Mailing address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
(250) 102-6225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
1520
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520
—
LA
Enumeration date
12/18/2023
Last updated
12/18/2023
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