MEDICARE: DR. JEFFERY JAKE LAFLEUR M.D.

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
1	207R00000X	Internal Medicine Physician	025579	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00239073	OTHER	LA	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578559407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY JAKE LAFLEUR M.D.

Provider Business Mailing Address
First Line	:	503 JACK MILLER RD
Second Line	:	SUITE B
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-5607
Country	:	US
Telephone Number	:	337-363-1150
Fax Number	:	337-363-6203

Provider Business Practice Location Address
First Line	:	503 JACK MILLER RD
Second Line	:	SUITE B
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-5607
Country	:	US
Telephone Number	:	337-363-1150
Fax Number	:	337-363-6203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	02/27/2011

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