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Organization

LAFAYETTE HEALTH VENTURES, INC

Active
Parent organization
LAFAYETTE HEALTH VENTURES, INC
Other names
Executive Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAFAYETTE HEALTH VENTURES, INC
Authorized official
KIM DOOLEY (VP)
(337) 571-1394
Entity
Organization

Contact information

Practice address
1122 SOUTH BERNARD, SUITE C, BROUSSARD, LA 70518-3408
(337) 703-6476
(337) 703-6477
Mailing address
PO BOX 919229, DALLAS, TX 75391-9229
(337) 289-8944

Taxonomy

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

Other

Enumeration date
10/01/2021
Last updated
10/19/2021
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