Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Other names
Bruce Jones, MD
Organization subpart
No
Provider details
NPI number
Authorized official
BENE ROBILLARD (DIRECTOR OF PHYSICIAN PRACTICES)
(337) 289-8972
Entity
Organization
Contact information
Practice address
136 HOSPITAL DR, LAFAYETTE, LA 70503
(337) 289-8978
Mailing address
PO BOX 53092, LAFAYETTE, LA 70505-3092
(337) 289-8978
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD.201685
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029467
—
LA
Enumeration date
09/17/2007
Last updated
05/16/2008
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