Healthcare Provider Details

I. General information

NPI: 1992686844
Provider Name (Legal Business Name): ABIGAIL DOUET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 CORPORATE BLVD
LAFAYETTE LA
70508-3850
US

IV. Provider business mailing address

105 CORPORATE BLVD
LAFAYETTE LA
70508-3850
US

V. Phone/Fax

Practice location:
  • Phone: 337-593-9099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number213039
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: