Individual
MR. RYAN MICHAEL FALCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 289-7991
Mailing address
1100 ROBLEY DR, LAFAYETTE, LA 70503-5523
(504) 421-3833
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2618431
—
LA
Enumeration date
03/22/2023
Last updated
07/20/2023
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