Organization
JANICE A. NUGENT, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE A. NUGENT M.D. (OWNER)
(337) 256-5378
Entity
Organization
Contact information
Practice address
520 N LEWIS ST, SUITE 204, NEW IBERIA, LA 70563-2094
(337) 256-5378
(337) 256-5381
Mailing address
PO BOX 61950, LAFAYETTE, LA 70596-1950
(337) 256-5378
(337) 256-5381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1492388
—
LA
Enumeration date
05/25/2006
Last updated
01/30/2008
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