| Life Unlimited, Llc | |
|
349 Maryview Farm Road Lafayette, La 70507 Lafayette LA 70507 | |
| (337) 212-4122 | |
| (337) 237-2431 |
| Full Name | Life Unlimited, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 349 Maryview Farm Road, Lafayette, Louisiana |
| Authorized Official Name and Position | Raquel Mccorvey (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 3372124122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Unlimited, Llc 349 Maryview Farm Road Lafayette, La 70507 Lafayette LA 70507 Ph: (337) 212-4122 | Life Unlimited, Llc 349 Maryview Farm Road Lafayette, La 70507 Lafayette LA 70507 Ph: (337) 212-4122 |
| NPI Number | 1609466044 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609466044 | NPI | - | NPPES |
| AP09649 | Other | LA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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