Individual
LOUIS CHARLES BLANDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1103 KALISTE SALOOM ROAD, SUITE 100, LAFAYETTE, LA 70508-2636
(337) 234-5234
(337) 235-2121
Mailing address
1103 KALISTE SALOOM ROAD, SUITE 100, LAFAYETTE, LA 70508-2636
(337) 234-5234
(337) 235-2121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
011186
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117579
—
LA
01
—
200000951
RAILROAD
LA
Enumeration date
07/22/2005
Last updated
02/05/2009
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