| Lafayette Health Ventures, Inc | |
|
3554 W Pinhook Rd Lafayette LA 70508-3607 | |
| (337) 837-7116 | |
| (337) 837-7165 |
| Full Name | Lafayette Health Ventures, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3554 W Pinhook Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Carolyn Huval (VICE PRESIDENT) |
| Authorized Official Contact | 3372898972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Health Ventures, Inc 3554 W Pinhook Rd Lafayette LA 70508-3607 Ph: (337) 837-7116 | Lafayette Health Ventures, Inc 3554 W Pinhook Rd Lafayette LA 70508-3607 Ph: (337) 837-7116 |
| NPI Number | 1760411334 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 12/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760411334 | NPI | - | NPPES |
| 1443972 | Medicaid | LA | |
| CG2600 | Other | LA | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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