Individual
DR. TERRY A CROMWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 SOUTH COLLEGE ROAD, SUITE 400, LAFAYETTE, LA 70503
(337) 223-5025
(337) 233-5054
Mailing address
1101 SOUTH COLLEGE ROAD, SUITE 400, LAFAYETTE, LA 70503
(337) 223-5025
(337) 233-5054
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
03319R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1133990
—
LA
Enumeration date
09/06/2006
Last updated
07/07/2008
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