Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cityblock Medical Practice La, LLC

Organization General Practice Physician · NPI 1790447373

Cityblock Medical Practice La, LLC provides General Practice Physician services in Lafayette, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1042 Camellia Blvd
Lafayette, LA 70508-6680
Phone: (800) 336-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1790447373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devon Minerve — Corporate Counsel · (202) 321-2528
NPI enumeratedOctober 11, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 7, 2021
Mailing address495 Flatbush Ave Ste C5, Brooklyn, NY 11225-3706

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