MEDICARE: DR. MARY LOIS LAVILLE MD

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	174400000X	Specialist	018789	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DC2141	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4375751	OTHER	LA	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942282330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY LOIS LAVILLE MD

Provider Business Mailing Address
First Line	:	4630 AMBASSADOR CAFFERY PKWY
Second Line	:	SUITE 412
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6949
Country	:	US
Telephone Number	:	337-993-3933
Fax Number	:	337-993-2689

Provider Business Practice Location Address
First Line	:	4630 AMBASSADOR CAFFERY PKWY
Second Line	:	SUITE 412
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6949
Country	:	US
Telephone Number	:	337-993-3933
Fax Number	:	337-993-2689

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

Provider Enumeration Date	:	11/19/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1750345138 — JAMES LOUIS ZEHNDER MD
Practice Location Address:

206 E FARREL ROAD
LAFAYETTE, LA
70508-6949

Practice Phone: 337-989-8795
Practice Fax: 337-989-8766

1992703649 — DR. GEORGE H FULLER M.D.
Practice Location Address:

4630 AMBASSADOR CAFFERY PKWY , STE 208
LAFAYETTE, LA
70508-6949

Practice Phone: 337-981-6100
Practice Fax: 337-988-8751

1336147081 — DR. ANTHONY COLLINS THIBODEAUX M.D.
Practice Location Address:

4630 AMBASSADOR CAFFERY PKWY , STE 208
LAFAYETTE, LA
70508-6949

Practice Phone: 337-981-6100
Practice Fax: 337-988-8751

1861485955 — STEPHEN J SCHORR MD
Practice Location Address:

4630 AMBASSADOR CAFFERY PKWY , STE 404
LAFAYETTE, LA
70508-6949

Practice Phone: 337-983-0055
Practice Fax: 337-983-0920

1649267568 — ANESTHESIA SPECIALISTS OF ACADIANA
Practice Location Address:

4630 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA
70508-6949

Practice Phone: 337-261-5151
Practice Fax:

1205811643 — DR. JOHN A BOLIN MD
Practice Location Address:

4630 AMBASSADOR CAFFERY PKWY , STE 406
LAFAYETTE, LA
70508-6949

Practice Phone: 337-989-8770
Practice Fax: 337-989-8768

Directions to “ DR. MARY LOIS LAVILLE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.