Lacie Alfonso MD LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LACIE ALFONSO MD LLC

Practice address

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917

Phone

(337) 233-7977

Fax

(337) 233-7978

NPI assigned

May 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lacie A Alfonso, MD

Title

Director

Phone

(337) 233-7977

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1437103124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80965",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705980965",
            "telephone_number": "337-233-7977",
            "fax_number": "337-233-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-233-7977",
            "fax_number": "337-233-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACIE ALFONSO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "LACIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-233-7977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA5900",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J Laborde
• Kenneth J Laborde, MD,
• Jacque Doran Labry Sr., DDS
• Courtney Blaire Lachney, LOTR
• Kimberly Lachney, MA
• Laura Lee Lacombe, LMT
• Merlin Anthony Lacombe Jr.
• Ricky Lacombe, O.D.
• Samantha Lacombe, MS CCC-SLP
• Laconsultants LLC

• All providers in Lafayette, LA
• Physical Medicine & Rehabilitation Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.