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NPI Code Detail

MEDICARE: ALYSSA JUNEAU DO

MEDICARE: ALYSSA JUNEAU DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528811296
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA JUNEAU DO
Provider Business Mailing Address
First Line : 2390 W CONGRESS ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4205
Country : US
Telephone Number : 337-261-6655
Fax Number :
Provider Business Practice Location Address
First Line : 2390 W CONGRESS ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4205
Country : US
Telephone Number : 337-216-6655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 05/19/2026

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Directions to “ ALYSSA JUNEAU DO” Practice Location

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