Healthcare Provider Details

I. General information

NPI: 1366126708
Provider Name (Legal Business Name): ARDEN MARKELL LAGRONE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N LEWIS ST STE 203
NEW IBERIA LA
70563-2094
US

IV. Provider business mailing address

PO BOX 12137
NEW IBERIA LA
70562-2137
US

V. Phone/Fax

Practice location:
  • Phone: 337-364-4738
  • Fax: 337-364-0992
Mailing address:
  • Phone: 337-256-5443
  • Fax: 337-256-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number352186
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: