| Medical Center Of Lafayette Llc | |
|
204 Petroleum Dr Lafayette LA 70508-3880 | |
| (337) 349-4686 | |
| Not Available |
| Full Name | Medical Center Of Lafayette Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 204 Petroleum Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Robert Lecky (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3373494686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Of Lafayette Llc 204 Petroleum Dr Lafayette LA 70508-3880 Ph: (337) 349-4686 | Medical Center Of Lafayette Llc 204 Petroleum Dr Lafayette LA 70508-3880 Ph: (337) 349-4686 |
| NPI Number | 1821540600 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821540600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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