| Lafayette Health Ventures, Inc | |
|
136 Hospital Dr Lafayette LA 70503 | |
| (337) 289-8978 | |
| Not Available |
| Full Name | Lafayette Health Ventures, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 136 Hospital Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Bene Robillard (DIRECTOR OF PHYSICIAN PRACTICES) |
| Authorized Official Contact | 3372898972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Health Ventures, Inc Po Box 53092 Lafayette LA 70505-3092 Ph: (337) 289-8978 | Lafayette Health Ventures, Inc 136 Hospital Dr Lafayette LA 70503 Ph: (337) 289-8978 |
| NPI Number | 1780870402 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780870402 | NPI | - | NPPES |
| 1029467 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD.201685 (Louisiana) | Primary |
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