Organization
RECONSTRUCTIVE BREAST SURGEONS OF ACADIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES DELATTE MD (PARTNER)
(337) 269-4949
Entity
Organization
Contact information
Practice address
917 COOLIDGE BLVD, LAFAYETTE, LA 70503-2433
(337) 269-4949
(337) 269-4950
Mailing address
917 COOLIDGE BLVD, LAFAYETTE, LA 70503-2433
(337) 269-4949
(337) 269-4950
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD200512
LA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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