Minutemed | |
104 Banister Court Suite 1c Lafayette LA 70507 | |
(337) 456-3519 | |
(337) 205-6272 |
Full Name | Minutemed |
---|---|
Speciality | Clinic/center |
Location | 104 Banister Court, Lafayette, Louisiana |
Authorized Official Name and Position | David C Reese (MEMBER MANAGER) |
Authorized Official Contact | 3374563519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Minutemed 2851 Johnston St Lafayette LA 70503-3243 Ph: (337) 456-3519 | Minutemed 104 Banister Court Suite 1c Lafayette LA 70507 Ph: (337) 456-3519 |
NPI Number | 1346633831 |
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Provider Enumeration Date | 03/09/2015 |
Last Update Date | 03/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346633831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Louisiana) | Primary |
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