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NPI Code Detail

MEDICARE: LAFAYETTE GENERAL MEDICAL CENTER INC

MEDICARE: LAFAYETTE GENERAL MEDICAL CENTER INC
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
1273R00000XPsychiatric Hospital Unit207LA

General Provider Information

NPI Number : 1770557746
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAFAYETTE GENERAL MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 1214 COOLIDGE BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-2621
Country : US
Telephone Number : 337-289-8860
Fax Number : 337-289-8839
Provider Business Practice Location Address
First Line : 302 DULLES DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-3008
Country : US
Telephone Number : 337-289-8860
Fax Number : 337-289-8839
Authorized Official
Title or Position : CEO
Name : AL JUDE PATIN
Credential :
Telephone Number : 337-289-7743
Provider Enumeration Date : 02/15/2006
Last Update Date : 12/17/2025

Similar Medicare Providers

1750345799 — DEPARTMENT OF HEALTH AND HOSPITALS
Practice Location Address:
302 DULLES DRIVE , SUITE 1
LAFAYETTE, LA
70506-3008
Practice Phone: 337-262-5870
Practice Fax: 337-262-1272
1639103567 — DR. DAVID J REES MD
Practice Location Address:
302 DULLES DR , SUITE 1
LAFAYETTE, LA
70506-3008
Practice Phone: 337-262-5870
Practice Fax: 337-262-1272
1699700880 — DR. GEORGE W. DIGGS JR. M.D.
Practice Location Address:
302 DULLES DR , SUITE 1
LAFAYETTE, LA
70506-3008
Practice Phone: 337-262-5870
Practice Fax: 337-262-1272
1437263746 — MR. NATHAN S BURATT LCSW
Practice Location Address:
302 DULLES DR , SUITE 1
LAFAYETTE, LA
70506-3008
Practice Phone: 337-262-5870
Practice Fax: 337-262-1272
1326152349 — MRS. DORIS O. BOUDREAUX R.N.
Practice Location Address:
302 DULLES DR , SUITE 1
LAFAYETTE, LA
70506-3008
Practice Phone: 337-262-5870
Practice Fax: 337-262-1272
1942310073 — MS. EDITH LOUISE DEVILBISS L.A.C.
Practice Location Address:
302 DULLES DR , SUITE 1
LAFAYETTE, LA
70506-3008
Practice Phone: 337-262-5870
Practice Fax: 337-262-1272

Directions to “LAFAYETTE GENERAL MEDICAL CENTER INC ” Practice Location

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