Organization
LADEBE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO DELTORO M.D. (PHYSICIAN)
(337) 288-5557
Entity
Organization
Contact information
Practice address
804 RICHLAND AVE, LAFAYETTE, LA 70508-6661
(337) 291-2455
Mailing address
PO BOX 81736, LAFAYETTE, LA 70598-1736
(337) 291-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444855
—
LA
Enumeration date
04/23/2007
Last updated
05/10/2012
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