Lafayette Health Ventures, Inc | |
461 Heymann Blvd Lafayette LA 70503-2616 | |
(337) 233-5300 | |
Not Available |
Full Name | Lafayette Health Ventures, Inc |
---|---|
Speciality | Internal Medicine |
Location | 461 Heymann Blvd, Lafayette, Louisiana |
Authorized Official Name and Position | Al Patin (CHIEF ADMINSTRATIVE OFFICER) |
Authorized Official Contact | 3372898933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lafayette Health Ventures, Inc Po Box 53092 Lafayette LA 70505-3092 Ph: (337) 289-8933 | Lafayette Health Ventures, Inc 461 Heymann Blvd Lafayette LA 70503-2616 Ph: (337) 233-5300 |
NPI Number | 1467687186 |
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Provider Enumeration Date | 05/26/2009 |
Last Update Date | 03/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467687186 | NPI | - | NPPES |
CG2600 | Other | LA | RAILROAD MEDICARE |
1195367 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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