Organization
LAFAYETTE GENERAL MEDICAL CENTER INC.
Active
Organization
LAFAYETTE GENERAL MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER MATTKE (CFO)
(337) 289-8678
Entity
Organization
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-8978
(337) 289-8970
Mailing address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-8978
(337) 289-8970
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1816451
—
LA
Enumeration date
06/25/2009
Last updated
04/16/2025
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