| Insulinic Of Lafayette Llc | |
|
220 Johnston St Lafayette LA 70501-8059 | |
| (337) 254-9999 | |
| (337) 522-7543 |
| Full Name | Insulinic Of Lafayette Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 220 Johnston St, Lafayette, Louisiana |
| Authorized Official Name and Position | Shawn Calvit (CEO) |
| Authorized Official Contact | 3372549999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insulinic Of Lafayette Llc 220 Johnston St Lafayette LA 70501-8059 Ph: (337) 254-9999 | Insulinic Of Lafayette Llc 220 Johnston St Lafayette LA 70501-8059 Ph: (337) 254-9999 |
| NPI Number | 1437815180 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 01/30/2023 |
| Medicare PECOS PAC ID | 8123411923 |
|---|---|
| Medicare Enrollment ID | O20220131000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437815180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Patrick Dale Leleux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205028412 PECOS PAC ID: 8022186337 Enrollment ID: I20081014000013 |
| Provider Name | Mary Jane Mckinnie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689774259 PECOS PAC ID: 0042373565 Enrollment ID: I20090109000436 |
| Provider Name | Christy E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932406832 PECOS PAC ID: 9032343322 Enrollment ID: I20130927000165 |
| Provider Name | Justin Garett Hebert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861107534 PECOS PAC ID: 6002287943 Enrollment ID: I20230222002071 |
| Provider Name | Sharon Graffeo Lowrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205173267 PECOS PAC ID: 3779956982 Enrollment ID: I20230515000188 |
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