University Of Louisiana At Lafayette

NPI 1245245000 - Clinic/Center - 261QS1000X

NPI Details
NPI 1245245000
Enumeration Date 07/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MARY MARELLE MARY
Position DIRECTOR, ULLAFAYETTE SHS
Phone (337) 482-6826
Fax
Practice Location
120 BOUCHER DR
LAFAYETTE LA, 70504-0001, US
Phone (337) 482-6826
Fax
Business Location
PO BOX 43692
LAFAYETTE LA, 70504-0001, US
Phone (337) 482-6826
Fax
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, University Of Louisiana At Lafayette NPI is 1245245000, taxonomy code is 261QS1000X University Of Louisiana At Lafayette physically located at 120 Boucher Dr, Lafayette LA, 70504-0001. NPI Number 1033115704 has the healthcare provider type.

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1245245000 NPI number is provided on an as is basis without warranty of any kind. 1245245000 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Louisiana At Lafayette are for informational purposes only.