Organization
LAFAYETTE HEALTH VENTURES, INC.
Active
Other names
Dr. Diana Fernandez
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY COMEAUX (CREDENTIALLING)
(337) 289-8974
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR., STE #208, LAFAYETTE, LA 70503
(337) 289-8421
(337) 289-8423
Mailing address
PO BOX 53092, LAFAYETTE, LA 70505
(337) 289-8421
(337) 289-8423
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC 25943
MEDICAL LICENSE
SC
Enumeration date
12/14/2006
Last updated
08/22/2020
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