| Sw Louisiana Internal Medicine Llc | |
|
105 Patriot St Ste 202 Lafayette LA 70508-6831 | |
| (337) 257-2838 | |
| Not Available |
| Full Name | Sw Louisiana Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Patriot St Ste 202, Lafayette, Louisiana |
| Authorized Official Name and Position | Edward Kemp Coreil (PARTNER) |
| Authorized Official Contact | 3372572838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sw Louisiana Internal Medicine Llc 105 Patriot St Ste 202 Lafayette LA 70508-6831 Ph: () - | Sw Louisiana Internal Medicine Llc 105 Patriot St Ste 202 Lafayette LA 70508-6831 Ph: (337) 257-2838 |
| NPI Number | 1376144501 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 11/04/2020 |
| Medicare PECOS PAC ID | 8325450059 |
|---|---|
| Medicare Enrollment ID | O20201222000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376144501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward K Coreil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407887441 PECOS PAC ID: 2567441488 Enrollment ID: I20040716000017 |
| Provider Name | Karen R Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942293329 PECOS PAC ID: 8123085420 Enrollment ID: I20041221000096 |
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