Individual
KATE DEGATUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 W CONGRESS ST, LAFAYETTE, LA 70506-6765
(337) 703-3360
(337) 703-3361
Mailing address
PO BOX 54544, NEW ORLEANS, LA 70154-4544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
324004
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
11/17/2020
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