Individual
MICHAEL K JUDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY STE 102, LAFAYETTE, LA 70508-6949
(337) 470-4434
(337) 470-4432
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-4434
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16220
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1341053
—
LA
Enumeration date
01/26/2007
Last updated
04/26/2022
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