Organization
ACADIANA MEDICAL ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE M BLANCHET MD (PRESIDENT)
(337) 232-2520
Entity
Organization
Contact information
Practice address
500 JULIETTE PLACE, LAFAYETTE, LA 70506-4571
(337) 232-2520
(337) 232-9759
Mailing address
PO BOX 52463, LAFAYETTE, LA 70505-2463
(337) 232-2520
(337) 232-9759
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443638
—
LA
01
—
CK3610
RAILROAD MEDICARE
LA
Enumeration date
12/12/2006
Last updated
04/20/2008
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