Organization
WILLCARE, LLC
Active
Other names
Stephen J. Delatte, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J DELATTE M.D. (OWNER)
(337) 269-4949
Entity
Organization
Contact information
Practice address
100 DRURY LN, LAFAYETTE, LA 70508-5702
(337) 269-4949
(337) 269-4950
Mailing address
100 DRURY LN, LAFAYETTE, LA 70508-5702
(337) 269-4949
(337) 269-4950
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
200512
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1590347
—
LA
Enumeration date
06/06/2007
Last updated
03/23/2023
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