Organization
NORMAN L. DYKES, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN LEE DYKES M.D. (OWNER)
(337) 234-1119
Entity
Organization
Contact information
Practice address
105 SHERIDAN DR, LAFAYETTE, LA 70506-2609
(337) 234-1119
Mailing address
105 SHERIDAN DR, LAFAYETTE, LA 70506-2609
(337) 234-1119
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
02543R
LA
305R00000X
Preferred Provider Organization
Primary
05243R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091219
—
LA
Enumeration date
10/04/2010
Last updated
01/04/2011
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