| Michael Vanderlick Md | |
|
4809 Ambassador Caffery Pkwy Suite 410 Lafayette LA 70508-8800 | |
| (337) 470-3109 | |
| (337) 231-6943 |
| Full Name | Michael Vanderlick Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 4809 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Kim Hebert (CFO) |
| Authorized Official Contact | 3374702593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Vanderlick Md 4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 Ph: (337) 470-2593 | Michael Vanderlick Md 4809 Ambassador Caffery Pkwy Suite 410 Lafayette LA 70508-8800 Ph: (337) 470-3109 |
| NPI Number | 1154682094 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154682094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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