Albert R Corne Jr MD
Organization Active NPI Specialist · Lafayette, LA
NPI 1962449769 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962449769
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 009830 (LA)
- Legal business name
- ALBERT R CORNE JR MD
- Practice address
- 457 Heymann Blvd
Lafayette, LA 70503-2616 - Phone
- (337) 232-8511
- Fax
- (337) 234-3591
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Albert R Corne Jr., MD
- Title
- MD
- Phone
- (337) 232-8511
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 009830 | LA | Yes |
Addresses
Primary practice location
457 Heymann Blvd
Lafayette, LA 70503-2616
Mailing address
457 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 232-8511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103136 | Medicaid | LA |
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.