Organization
LAFAYETTE HEALTH VENTURES, INC,
Active
Other names
Family Health Plaza South
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIRK (VICE PRESIDENT)
(337) 289-8951
Entity
Organization
Contact information
Practice address
2810 BONIN RD, YOUNGSVILLE, LA 70592-5600
(337) 857-5765
Mailing address
2810 BONIN RD, YOUNGSVILLE, LA 70592-5600
(337) 857-5765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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