Healthcare Provider Details

I. General information

NPI: 1982845277
Provider Name (Legal Business Name): CHRISSY VEILLON LALONDE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISSY JENOH VEILLON

II. Dates (important events)

Enumeration Date: 03/16/2009
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1268 ATTAKAPAS DR SUITE 102
OPELOUSAS LA
70570-6515
US

IV. Provider business mailing address

1268 ATTAKAPAS DR SUITE 102
OPELOUSAS LA
70570-6515
US

V. Phone/Fax

Practice location:
  • Phone: 337-948-8663
  • Fax: 337-948-8783
Mailing address:
  • Phone: 337-948-8663
  • Fax: 337-948-8783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberMD.203652
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD203652
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: