Organization
LAFAYETTE HEALTH VENTURES, INC
Active
Other names
Cancer Center Of Acadiana at Lafayette General
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DOOLEY (COO)
(337) 571-1394
Entity
Organization
Contact information
Practice address
1211 COOLIDGE BLVD, SUITE 101, LAFAYETTE, LA 70503
(337) 289-8044
(337) 289-8401
Mailing address
PO BOX 53092, LAFAYETTE, LA 70505-3092
(337) 289-8933
(337) 289-8982
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115103
—
LA
01
—
CG2600
RAILROAD MEDICARE
LA
Enumeration date
02/12/2010
Last updated
06/21/2023
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