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1356926919
LYDIA DOMINGUE
LAFAYETTE, LA
NPI
1356926919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 215144)
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
LYDIA DOMINGUE NP
600 JEFFERSON ST STE 600
LAFAYETTE, LA 70501-6987
Phone number: 337-202-0720
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Mailing Address
LYDIA DOMINGUE NP
600 JEFFERSON ST STE 600
LAFAYETTE, LA 70501-6987
Phone number: 337-202-0720
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