MEDICARE: DR. JAMES A NORIEGA JR. DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PD234R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1962538678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES A NORIEGA JR. DPM

Provider Business Mailing Address
First Line	:	203 W BRENTWOOD BLVD
Second Line	:	STE 2
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-6190
Country	:	US
Telephone Number	:	337-981-4001
Fax Number	:	337-981-5148

Provider Business Practice Location Address
First Line	:	203 W BRENTWOOD BLVD
Second Line	:	STE 2
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-6190
Country	:	US
Telephone Number	:	337-981-4001
Fax Number	:	337-981-5148

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/14/2019

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