| Lafayette Integrative Medicine Llc | |
|
4212 W Congress St Ste 2400b Lafayette LA 70506-6768 | |
| (337) 703-3330 | |
| (337) 703-3331 |
| Full Name | Lafayette Integrative Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4212 W Congress St Ste 2400b, Lafayette, Louisiana |
| Authorized Official Name and Position | Elizabeth W Mclain (PHYSICIAN / OWNER) |
| Authorized Official Contact | 3375803005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Integrative Medicine Llc 4212 W Congress St Ste 2400b Lafayette LA 70506-6768 Ph: (337) 703-3330 | Lafayette Integrative Medicine Llc 4212 W Congress St Ste 2400b Lafayette LA 70506-6768 Ph: (337) 703-3330 |
| NPI Number | 1275299489 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 8224429154 |
|---|---|
| Medicare Enrollment ID | O20220103000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275299489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth W Mclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851307748 PECOS PAC ID: 2264437433 Enrollment ID: I20060921000186 |
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