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NPI Code Detail

MEDICARE: LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC

MEDICARE: LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC
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
1207RR0500XRheumatology Physician
2207RE0101XEndocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number : 1578513149
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC
Provider Business Mailing Address
First Line : 4212 W CONGRESS ST STE 2300A
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-6778
Country : US
Telephone Number : 337-237-7801
Fax Number : 337-235-1865
Provider Business Practice Location Address
First Line : 4212 W CONGRESS ST STE 2300A
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-6778
Country : US
Telephone Number : 337-237-7801
Fax Number : 337-235-1865
Authorized Official
Title or Position : OFFICE MANAGER
Name : MISS SUSANNE VASSEUR
Credential :
Telephone Number : 337-237-7801
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/24/2020

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