Individual
VERNON A VALENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 AMBASSADOR CAFFERY PKWY, BUILDING 1, SUITE 100, LAFAYETTE, LA 70508-6984
(337) 534-4143
(337) 534-4082
Mailing address
PO BOX 80354, LAFAYETTE, LA 70598-0354
(337) 534-4143
(337) 534-4082
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18323
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1916994
—
LA
01
—
272685
MC GRP PTAN
LA
Enumeration date
08/17/2005
Last updated
08/17/2015
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