| Minute Med Clinic Llc | |
|
3621 Ambassador Caffery Pkwy Ste 100 Lafayette LA 70503-5132 | |
| (337) 534-4410 | |
| (337) 534-4426 |
| Full Name | Minute Med Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3621 Ambassador Caffery Pkwy Ste 100, Lafayette, Louisiana |
| Authorized Official Name and Position | Lori Ann Cormier-mire (OFFICE MANAGER) |
| Authorized Official Contact | 3375344410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minute Med Clinic Llc 3619 Ambassador Caffery Pkwy Bldg E Lafayette LA 70503-5132 Ph: (337) 534-4410 | Minute Med Clinic Llc 3621 Ambassador Caffery Pkwy Ste 100 Lafayette LA 70503-5132 Ph: (337) 534-4410 |
| NPI Number | 1750638391 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 01/04/2023 |
| Medicare PECOS PAC ID | 6103077672 |
|---|---|
| Medicare Enrollment ID | O20121109000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750638391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Antoinette B Luquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396787982 PECOS PAC ID: 3577467638 Enrollment ID: I20031121000098 |
| Provider Name | Mark J Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679518823 PECOS PAC ID: 0941253504 Enrollment ID: I20050224000661 |
| Provider Name | Colin Ross Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982065462 PECOS PAC ID: 7214212067 Enrollment ID: I20170320000133 |
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