Individual
DR. COLE HILLEBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(555) 555-5555
Mailing address
2305 LEONARD RD, SULPHUR, LA 70665-8392
(337) 661-9675
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.207135
LA
207Q00000X
Family Medicine Physician
005229
GA
207Q00000X
Family Medicine Physician
Primary
MD.207135
LA
Other
Enumeration date
06/28/2011
Last updated
01/28/2015
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