Individual
JUSTIN MATTHEW PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 RUE DU BELIER APT 1307, LAFAYETTE, LA 70506
(561) 308-4083
Mailing address
1630 RUE DU BELIER APT 1307, LAFAYETTE, LA 70506-6559
(561) 308-4083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
310182
LA
207Q00000X
Family Medicine Physician
GETP.201476
LA
Other
Enumeration date
04/12/2015
Last updated
07/31/2018
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