Healthcare Provider Details

I. General information

NPI: 1457592420
Provider Name (Legal Business Name): MEGAN ELIZABETH DAIGLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2009
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1448 S COLLEGE RD
LAFAYETTE LA
70503-2920
US

IV. Provider business mailing address

PO BOX 54287
NEW ORLEANS LA
70154-4287
US

V. Phone/Fax

Practice location:
  • Phone: 337-289-8222
  • Fax: 337-289-8223
Mailing address:
  • Phone: 337-706-1605
  • Fax: 337-993-0547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD.208240
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: