Our Lady Of Lourdes Regional Medical Center Dba John Charles Dugal, M. | |
501 W Saint Mary Blvd Ste 300 Lafayette LA 70506-4665 | |
(337) 289-4801 | |
(337) 289-4840 |
Full Name | Our Lady Of Lourdes Regional Medical Center Dba John Charles Dugal, M. |
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Speciality | Family Medicine |
Location | 501 W Saint Mary Blvd Ste 300, Lafayette, Louisiana |
Authorized Official Name and Position | William 'bud' Barrow (CEO) |
Authorized Official Contact | 3372892000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Our Lady Of Lourdes Regional Medical Center Dba John Charles Dugal, M. 611 Saint Landry St Lafayette LA 70506-4627 Ph: (337) 289-2000 | Our Lady Of Lourdes Regional Medical Center Dba John Charles Dugal, M. 501 W Saint Mary Blvd Ste 300 Lafayette LA 70506-4665 Ph: (337) 289-4801 |
NPI Number | 1689974842 |
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Provider Enumeration Date | 10/21/2010 |
Last Update Date | 11/15/2010 |
Identifier | Type | State | Issuer |
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1689974842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 011865 (Louisiana) | Primary |
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