| Lafayette Health Ventures, Inc | |
|
1211 Coolidge Blvd Suite 401 Lafayette LA 70503-2636 | |
| (337) 289-8414 | |
| (337) 289-8970 |
| Full Name | Lafayette Health Ventures, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1211 Coolidge Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Carolyn Huval (VICE PRESIDENT) |
| Authorized Official Contact | 3372898972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Health Ventures, Inc 1211 Coolidge Blvd Suite 401 Lafayette LA 70503-2636 Ph: (337) 289-8414 | Lafayette Health Ventures, Inc 1211 Coolidge Blvd Suite 401 Lafayette LA 70503-2636 Ph: (337) 289-8414 |
| NPI Number | 1568492841 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568492841 | NPI | - | NPPES |
| 1706451 | Medicaid | LA | |
| CG2600 | Other | LA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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