Individual
TYSON MEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 RUE FONTAINE, LAFAYETTE, LA 70508-5744
(337) 524-1700
Mailing address
101 RUE FONTAINE, LAFAYETTE, LA 70508-5744
(337) 524-1700
(337) 524-1702
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
302383
LA
Other
Enumeration date
03/27/2015
Last updated
02/10/2021
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