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1184387177
PEDIATRIC CLINIC OF LAFAYETTE LLC
LAFAYETTE, LA
NPI
1184387177
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Entity Type
Organization
Authorized Contact
USHA KRISHNAMOORTHY
Billing Office
337-322-6673
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
PEDIATRIC CLINIC OF LAFAYETTE LLC
104 GENEVIEVE DR
LAFAYETTE, LA 70503-4811
Phone number: 337-984-0110
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Mailing Address
PEDIATRIC CLINIC OF LAFAYETTE LLC
104 GENEVIEVE DR
LAFAYETTE, LA 70503-4811
Phone number: 337-984-0110
Copy
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