Organization
MARAIST FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI DUHON (ADMINISTRATOR)
(337) 280-6298
Entity
Organization
Contact information
Practice address
185 S BEADLE RD # B2, LAFAYETTE, LA 70508-4287
(337) 234-0384
(337) 761-6021
Mailing address
185 S BEADLE RD # B2, LAFAYETTE, LA 70508-4287
(337) 234-0384
(337) 761-6021
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM.200012
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1150100
—
LA
Enumeration date
10/24/2017
Last updated
03/05/2024
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