Individual
COREY LEE CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07840
LA
Other
Enumeration date
06/15/2014
Last updated
04/01/2015
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