Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Other names
Family Health Plaza Carencro DME
Organization subpart
No
Provider details
NPI number
Authorized official
AL PATIN (SVP)
(337) 289-8951
Entity
Organization
Contact information
Practice address
917 W GLORIA SWITCH ROAD, LAFAYETTE, LA 70507-2309
(337) 886-6455
(337) 886-6459
Mailing address
121 AUDUBON BLVD, LAFAYETTE, LA 70503-2606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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