Organization
MEDICAL CENTER OF LAFAYETTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LECKY MD (MEDICAL DIRECTOR)
(337) 349-4686
Entity
Organization
Contact information
Practice address
204 PETROLEUM DR, LAFAYETTE, LA 70508-3880
(337) 349-4686
Mailing address
204 PETROLEUM DR, LAFAYETTE, LA 70508-3880
(337) 349-4686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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