Minute Med-johnston Llc | |
2912 Johnston Street Lafayette LA 70503 | |
(337) 456-3519 | |
Not Available |
Full Name | Minute Med-johnston Llc |
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Speciality | General Practice |
Location | 2912 Johnston Street, Lafayette, Louisiana |
Authorized Official Name and Position | Brad Alan Boudreaux (OWNER) |
Authorized Official Contact | 3374563519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Minute Med-johnston Llc 2912 Johnston Street Lafayette LA 70503 Ph: (337) 456-3519 | Minute Med-johnston Llc 2912 Johnston Street Lafayette LA 70503 Ph: (337) 456-3519 |
NPI Number | 1215369665 |
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Provider Enumeration Date | 08/07/2013 |
Last Update Date | 08/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215369665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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