Organization
BLUEPRINT HORMONE AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON P ALLEN (OWNER)
(337) 230-9266
Entity
Organization
Contact information
Practice address
345 DOUCET RD, SUITE 229, LAFAYETTE, LA 70503-3488
(337) 230-9266
Mailing address
345 DOUCET RD, SUITE 229, LAFAYETTE, LA 70503-3488
(337) 230-9266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1065909#CFT93
LA
Other
Enumeration date
03/03/2016
Last updated
03/21/2016
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