Healthcare Provider Details

I. General information

NPI: 1922942846
Provider Name (Legal Business Name): ANZALONE & JOSEPH ENT AND FACIAL AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 TRAVIS ST STE 101
LAFAYETTE LA
70503-2452
US

IV. Provider business mailing address

PO BOX 81129
LAFAYETTE LA
70598-1129
US

V. Phone/Fax

Practice location:
  • Phone: 337-321-1781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MACY DRONET
Title or Position: BILLING MANAGER
Credential:
Phone: 337-321-1781