Healthcare Provider Details

I. General information

NPI: 1376542274
Provider Name (Legal Business Name): ANGELA M LANGLINAIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 E MAIN ST STE 201
NEW IBERIA LA
70560-4046
US

IV. Provider business mailing address

2309 E MAIN ST STE 201
NEW IBERIA LA
70560-4046
US

V. Phone/Fax

Practice location:
  • Phone: 337-560-8400
  • Fax: 337-560-8401
Mailing address:
  • Phone: 337-560-8400
  • Fax: 337-560-8401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number022662
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: