Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Other names
Southwest Clinics DME
Organization subpart
No
Provider details
NPI number
Authorized official
AL PATIN (SVP)
(337) 289-8951
Entity
Organization
Contact information
Practice address
4212 W CONGRESS ST, LAFAYETTE, LA 70506-6765
(337) 216-9018
(337) 216-9143
Mailing address
121 AUBUBON BLVD, LAFAYETTE, LA 70503-2606
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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