Individual
MRS. AMANDA LAUREN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
100 DRURY LANE, LAFAYETTE, LA 70508
(337) 269-4949
(337) 269-4950
Mailing address
100 DRURY LANE, LAFAYETTE, LA 70508
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
200634
LA
Other
Enumeration date
08/16/2013
Last updated
02/05/2025
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