Individual
DR. MILTON JOSEPH JOLIVETTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
501 W SAINT MARY BLVD, SUITE 300, LAFAYETTE, LA 70506-4600
(337) 234-1945
(337) 232-6380
Mailing address
501 W SAINT MARY BLVD, SUITE 300, LAFAYETTE, LA 70506-4600
(337) 234-1945
(337) 232-6380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04373R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1195367
—
LA
01
—
52021
MEDICARE
LA
Enumeration date
10/23/2007
Last updated
10/23/2007
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