Organization
LOURDES AFTER HOURS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DIBENEDETTO MD (MD)
(225) 214-9352
Entity
Organization
Contact information
Practice address
1700 KALISTE SALOOM RD, BUILDING 2, STE 200, LAFAYETTE, LA 70508-6186
(337) 981-5085
(337) 981-5466
Mailing address
PO BOX 679636, DALLAS, TX 75267-9636
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
18380
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444588
—
LA
01
—
DC8132
RAILROAD
LA
Enumeration date
07/16/2006
Last updated
01/24/2023
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