| Our Lady Of Lourdes Dba James Mwatibo, M.d. | |
|
850 N Pierce St Ste D Lafayette LA 70501-2848 | |
| (337) 233-2115 | |
| (337) 237-9075 |
| Full Name | Our Lady Of Lourdes Dba James Mwatibo, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 850 N Pierce St Ste D, Lafayette, Louisiana |
| Authorized Official Name and Position | Willilam Barrow (CEO) |
| Authorized Official Contact | 3372892000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of Lourdes Dba James Mwatibo, M.d. 850 N Pierce St Ste D Lafayette LA 70501-2848 Ph: (337) 233-2115 | Our Lady Of Lourdes Dba James Mwatibo, M.d. 850 N Pierce St Ste D Lafayette LA 70501-2848 Ph: (337) 233-2115 |
| NPI Number | 1174825202 |
|---|---|
| Provider Enumeration Date | 11/22/2010 |
| Last Update Date | 11/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174825202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14561R (Louisiana) | Primary |
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