| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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