Healthcare Provider Details

I. General information

NPI: 1992747349
Provider Name (Legal Business Name): ACADIANA RENAL PHYSICIANS AMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W SAINT MARY BLVD
LAFAYETTE LA
70506-4638
US

IV. Provider business mailing address

300 W SAINT MARY BLVD
LAFAYETTE LA
70506-4638
US

V. Phone/Fax

Practice location:
  • Phone: 337-233-6593
  • Fax: 337-235-1032
Mailing address:
  • Phone: 337-233-6593
  • Fax: 337-235-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAXIMO B LAMARCHE
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 337-984-7978