Healthcare Provider Details

I. General information

NPI: 1003954439
Provider Name (Legal Business Name): MARIA ZHEANETTE DUPONT B.S.,R.T.(R)(M)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MR. CRAIG DUPLECHIN

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 COOLIDGE BLVD SUITE 200
LAFAYETTE LA
70503-2435
US

IV. Provider business mailing address

306 N MCGOWN ST
RAYNE LA
70578-7045
US

V. Phone/Fax

Practice location:
  • Phone: 337-231-0099
  • Fax: 337-237-0062
Mailing address:
  • Phone: 337-231-0099
  • Fax: 337-237-0062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License Number5724
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2471M2300X
TaxonomyMammography Radiologic Technologist
License Number5724
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: