Healthcare Provider Details

I. General information

NPI: 1992887517
Provider Name (Legal Business Name): ANGELA LANGLINAIS, MD, APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

PO BOX 10708
NEW IBERIA LA
70562-0708
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 Code261Q00000X
TaxonomyClinic/Center
License Number022662
License Number StateLA

VIII. Authorized Official

Name: DR. ANGELA LANGLINAIS
Title or Position: PRESIDENT
Credential:
Phone: 337-560-8400