| Lafayette Weight Loss Clinic, Llc | |
|
5439 Johnston St Lafayette LA 70503-5135 | |
| (337) 456-3553 | |
| (337) 408-3347 |
| Full Name | Lafayette Weight Loss Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5439 Johnston St, Lafayette, Louisiana |
| Authorized Official Name and Position | Ronald Myron Lahasky (PHYSCIAN/OWNER) |
| Authorized Official Contact | 3374563553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Weight Loss Clinic, Llc 5439 Johnston St Lafayette LA 70503-5135 Ph: (337) 456-3553 | Lafayette Weight Loss Clinic, Llc 5439 Johnston St Lafayette LA 70503-5135 Ph: (337) 456-3553 |
| NPI Number | 1669823142 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669823142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.020878 (Louisiana) | Primary |
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