Organization
CHILDRENS CLINIC OF ACADIANA LLC
Active
Other names
Childrens Clinic of Acadiana LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY AMELIA DUNCAN APRN, FNP-BC (APRN, FNP, OWNER)
(337) 280-4287
Entity
Organization
Contact information
Practice address
850 N PIERCE ST, SUITE F, LAFAYETTE, LA 70501-2848
(337) 237-3501
(337) 504-4623
Mailing address
850 N PIERCE ST, SUITE F, LAFAYETTE, LA 70501-2848
(337) 237-3501
(337) 504-4623
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP04543
LA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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