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NPI 1235980129

NPI 1235980129 : LFEC, LLC : LAFAYETTE, LA

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General NPI Number Information
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    NPI Number           |    1235980129
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    Entity Type          |    Organization 
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    Legal Business Name  |    LFEC, LLC 
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Dates
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    Enumeration Date     |    03/28/2024
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    Last Update Date     |    03/28/2024
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Provider Practice Location Address
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    Address Line         |    4906 AMBASSADOR CAFFERY PKWY STE 701 
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70508-6965
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    Country              |    US
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    Telephone            |    337-989-2600
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    Fax                  |    337-989-2601
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Provider Business Mailing Address
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    Address Line         |    4906 AMBASSADOR CAFFERY PKWY STE 701 
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70508-6965
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    Country              |    US
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    Telephone            |    337-989-2600
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    Fax                  |    337-989-2601
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Authorized Official
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    Title or Position    |    OWNER/PHYSICIAN
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    Name                 |     RICHARD J PICCIONE 
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    Credential           |    MD
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    Telephone            |    337-989-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207WX0110X
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    Taxonomy Name        |    Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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    License Number       |    
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    License Number State |    
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