| Prevention Centers Of America Llc | |
|
1830 Bertrand Dr Suite 61427 Lafayette LA 70596-5001 | |
| (337) 446-2928 | |
| Not Available |
| Full Name | Prevention Centers Of America Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1830 Bertrand Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Nitin Malla (AGENT) |
| Authorized Official Contact | 3374462928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention Centers Of America Llc 1830 Bertrand Dr Suite 61427 Lafayette LA 70596-5001 Ph: () - | Prevention Centers Of America Llc 1830 Bertrand Dr Suite 61427 Lafayette LA 70596-5001 Ph: (337) 446-2928 |
| NPI Number | 1336488113 |
|---|---|
| Provider Enumeration Date | 02/13/2013 |
| Last Update Date | 02/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336488113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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