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Organization

LAFAYETTE FOUNDATION CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON D LANDRY MD (MEDICAL DOCTOR)
(337) 988-9737
Entity
Organization

Contact information

Practice address
121 RUE LOUIS XIV, BUILDING 9, SUITE A, LAFAYETTE, LA 70508
(337) 988-9737
Mailing address
121 RUE LOUIS XIV, BUILDING 9, SUITE A, LAFAYETTE, LA 70508
(337) 988-9737

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/07/2019
Last updated
05/14/2020
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