MEDICARE: ANZALONE & JOSEPH ENT AND FACIAL AESTHETICS

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
1	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician

General Provider Information

NPI Number	:	1922942846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANZALONE & JOSEPH ENT AND FACIAL AESTHETICS

Provider Business Mailing Address
First Line	:	PO BOX 81129
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70598-1129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 TRAVIS ST STE 101
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2452
Country	:	US
Telephone Number	:	337-321-1781
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MACY DRONET
Credential	:
Telephone Number	:	337-321-1781

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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