| Stephen Salopek, M.d., L.l.c. | |
|
155 Hospital Dr Suite 301 Lafayette LA 70503-2852 | |
| (337) 232-1010 | |
| (337) 234-3591 |
| Full Name | Stephen Salopek, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Hospital Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Stephen R. Salopek (OWNER) |
| Authorized Official Contact | 3372321010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Salopek, M.d., L.l.c. 155 Hospital Dr Suite 301 Lafayette LA 70503-2852 Ph: (337) 232-1010 | Stephen Salopek, M.d., L.l.c. 155 Hospital Dr Suite 301 Lafayette LA 70503-2852 Ph: (337) 232-1010 |
| NPI Number | 1063619625 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 02/11/2010 |
| Medicare PECOS PAC ID | 4082649256 |
|---|---|
| Medicare Enrollment ID | O20071207000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063619625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023853 (Louisiana) | Primary |
| Provider Name | Stephen R Salopek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245241686 PECOS PAC ID: 2567497647 Enrollment ID: I20050929000361 |
| Provider Name | Lauren Ledoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225583842 PECOS PAC ID: 5597044081 Enrollment ID: I20161128002621 |
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