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1497313670
LAKE PROFESSIONALS LLC
LAFAYETTE, LA
NPI
1497313670
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Entity Type
Organization
Authorized Contact
DOUGLASS H PERRET
CEO
337-233-1114
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2019-06-03
Last Update Date
2023-04-25
Business Address
LAKE PROFESSIONALS LLC
501 W SAINT MARY BLVD STE 210
LAFAYETTE, LA 70506-4699
Phone number: 337-233-1114
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Mailing Address
LAKE PROFESSIONALS LLC
PO BOX 53388
LAFAYETTE, LA 70505-3388
Phone number: 337-233-1114
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