Individual
MRS. STELLA BOUSTANY NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1211 COOLIDGE BLVD, SUITE 400, LAFAYETTE, LA 70503-2638
(337) 235-9779
(337) 235-0654
Mailing address
1211 COOLIDGE BLVD, SUITE 400, LAFAYETTE, LA 70503-2638
(337) 235-9779
(337) 235-0654
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
017731
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377635
—
LA
Enumeration date
08/25/2006
Last updated
07/18/2011
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