Individual
NATALIE DEROUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
324 E FARREL RD, LAFAYETTE, LA 70508-7106
(337) 984-2444
(337) 500-1409
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
325948
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
325948
STATE LICENSE
LA
Enumeration date
04/02/2018
Last updated
07/09/2021
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