Individual
MRS. TAMI T LAGRAIZE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 HOSPITAL DR, SUITE 410, LAFAYETTE, LA 70503-2852
(337) 289-9701
(337) 289-9702
Mailing address
PO BOX 52803, LAFAYETTE, LA 70505-2803
(337) 289-9701
(337) 289-9702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14475R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445819
—
LA
Enumeration date
11/03/2005
Last updated
07/08/2007
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