Acadiana Medical Oncology LLC
Organization Active NPI Medical Oncology Physician · Lafayette, LA
NPI 1720148208 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1720148208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- Legal business name
- ACADIANA MEDICAL ONCOLOGY LLC
- Practice address
- 500 Juliette Place
Lafayette, LA 70506-4571 - Phone
- (337) 232-2520
- Fax
- (337) 232-9759
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Paulette M Blanchet, MD
- Title
- President
- Phone
- (337) 232-2520
Practitioners 4
-
Glen Paul Carbo, FNP
National Provider Directory
Locations
500 Juliette Pl
Lafayette, LA 70506
Phone (337) 232-2520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician |
207RX0202X | LA | Yes |
Addresses
Primary practice location
500 Juliette Place
Lafayette, LA 70506-4571
Mailing address
PO Box 52463
Lafayette, LA 70505-2463
Phone (337) 232-2520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK3610 | Other | LA | RAILROAD MEDICARE |
| 1443638 | Medicaid | LA |
Other providers in Lafayette, LA
- Acadiana Long Term Care LLC
- Acadiana Maternal Fetal Medicine Apmc
- Acadiana Maternal Fetal Medicine Consulting Apmc
- Acadiana Medical Equipment and Supplies
- Acadiana Medical Laboratories, LTD.
- Acadiana Medical Psychological Services, LLC
- Acadiana Medical Transit LLC
- Acadiana Medical Transportation
- Acadiana OB/GYN, LLC
- Acadiana Oncologic Imaging Center LLC
All providers in Lafayette, LA · Medical Oncology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.