PEDIATRIC CLINIC OF LAFAYETTE LLC

LAFAYETTE, LA
NPI1184387177
Entity TypeOrganization
Authorized ContactUSHA KRISHNAMOORTHY
Billing Office
337-322-6673
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2021-10-18
Last Update Date2021-10-18
Business Address
PEDIATRIC CLINIC OF LAFAYETTE LLC
104 GENEVIEVE DR
LAFAYETTE, LA 70503-4811
Phone number: 337-984-0110
Mailing Address
PEDIATRIC CLINIC OF LAFAYETTE LLC
104 GENEVIEVE DR
LAFAYETTE, LA 70503-4811
Phone number: 337-984-0110