BANEE MADISON

LAFAYETTE, LA
NPI1083017271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  200759)
Enumeration Date2014-10-01
Last Update Date2014-11-05
Business Address
BANEE MADISON P.A
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-561-9100
Mailing Address
BANEE MADISON P.A
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-561-9100
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