Diabetes Self-management Center, Inc. | |
420 W Pinhook Rd Suite A Lafayette LA 70503-2131 | |
(337) 232-1717 | |
(337) 232-1767 |
Full Name | Diabetes Self-management Center, Inc. |
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Speciality | Clinic/center - Multi-specialty |
Location | 420 W Pinhook Rd, Lafayette, Louisiana |
Authorized Official Name and Position | Peter C. November (VICE PRESIDENT) |
Authorized Official Contact | 3372331307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diabetes Self-management Center, Inc. P.o. Box 51266 Lafayette LA 70505-1266 Ph: (337) 233-1307 | Diabetes Self-management Center, Inc. 420 W Pinhook Rd Suite A Lafayette LA 70503-2131 Ph: (337) 232-1717 |
NPI Number | 1053344093 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 11/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053344093 | NPI | - | NPPES |
C8672 | Other | LA | BLUE CROSS BLUE SHIELD OF |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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