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Individual

MRS. VICTORIA L BOLGIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
206 ENERGY PARKWAY, LAFAYETTE, LA 70508-3816
(337) 504-3335
(337) 504-4795
Mailing address
206 ENERGY PARKWAY, LAFAYETTE, LA 70508-3816
(337) 504-3335
(337) 504-4795

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
332188
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2526146
LA
Enumeration date
03/25/2019
Last updated
10/27/2022
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