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1437103124
LACIE ALFONSO MD LLC
LAFAYETTE, LA
NPI
1437103124
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Entity Type
Organization
Authorized Contact
LACIE A ALFONSO
Director
337-233-7977
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2006-05-19
Last Update Date
2014-09-30
Business Address
LACIE ALFONSO MD LLC
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6917
Phone number: 337-233-7977
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Mailing Address
LACIE ALFONSO MD LLC
PO BOX 80965
LAFAYETTE, LA 70598-0965
Phone number: 337-233-7977
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