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NPI Code Detail

MEDICARE: LAUREN DUPUIS BANDY PA-C

MEDICARE:   LAUREN DUPUIS BANDY  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant309837LA
2364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist309837LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508347469
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN DUPUIS BANDY PA-C
Provider Business Mailing Address
First Line : 1009 CHARITY ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5302
Country : US
Telephone Number : 337-893-3443
Fax Number : 337-893-3439
Provider Business Practice Location Address
First Line : 1009 CHARITY ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5302
Country : US
Telephone Number : 337-893-3443
Fax Number : 337-893-3439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 04/26/2024

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Directions to “ LAUREN DUPUIS BANDY PA-C” Practice Location

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