Organization
WOMENS CLINIC OF ACADIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HAYES (MANAGER)
(337) 984-1610
Entity
Organization
Contact information
Practice address
4540 AMBASSADOR CAFFERY PKWY, SUITE A-110, LAFAYETTE, LA 70508-6928
(337) 984-1610
(337) 984-2136
Mailing address
4540 AMBASSADOR CAFFERY PKWY, SUITE A-110, LAFAYETTE, LA 70508-6928
(337) 984-1610
(337) 984-2136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015039R
LA
174400000X
Specialist
02923R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136450
—
LA
05
—
1301582
—
LA
Enumeration date
03/09/2007
Last updated
08/22/2020
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