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Organization

LAFAYETTE PHYSICAL REHABILITATION HOSPITAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA LANE MCGEE (CFO)
(337) 269-9566
Entity
Organization

Contact information

Practice address
111 REPUBLIC AVENUE, LAFAYETTE, LA 70508
(337) 314-1111
(337) 314-1113
Mailing address
101 LA RUE FRANCE, STE 500, LAFAYETTE, LA 70508
(337) 269-9566
(337) 234-1075

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
589
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61380
BLUE CROSS BLUE SHIELD
LA
Enumeration date
07/11/2006
Last updated
01/09/2026
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