| Island Side Health Llc | |
|
414 Woodvale Ave Lafayette LA 70503-3434 | |
| (337) 326-0202 | |
| Not Available |
| Full Name | Island Side Health Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 414 Woodvale Ave, Lafayette, Louisiana |
| Authorized Official Name and Position | Lisa Pena Miller (NURSE PRACTITIONER) |
| Authorized Official Contact | 3373260202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Side Health Llc 414 Woodvale Ave Lafayette LA 70503-3434 Ph: (337) 326-0202 | Island Side Health Llc 414 Woodvale Ave Lafayette LA 70503-3434 Ph: (337) 326-0202 |
| NPI Number | 1306655311 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306655311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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