| Pediakare De Lousiana | |
|
900 Walker Rd Lafayette LA 70506-1371 | |
| (337) 269-5505 | |
| (337) 269-5506 |
| Full Name | Pediakare De Lousiana |
|---|---|
| Speciality | Clinic/center |
| Location | 900 Walker Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Sherita Marie Narcisse (OWNER) |
| Authorized Official Contact | 3372695505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediakare De Lousiana 900 Walker Rd Lafayette LA 70506-1371 Ph: (337) 269-5505 | Pediakare De Lousiana 900 Walker Rd Lafayette LA 70506-1371 Ph: (337) 269-5505 |
| NPI Number | 1467710608 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467710608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Louisiana) | Primary |
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