East Bayou Medical Supply
East Bayou Medical Supply provides Clinic/Center services in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.
- Licensed in
- LA
- In the registry since
- 2011
Practice location Address checks out
204 Energy Pkwy Ste BLafayette, LA 70508-3816 Not confirmed with CMS for 15 years — call before visiting
Phone: (337) 269-0136
Fax: (337) 233-8525
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence MD200825 (LA) |
|---|
Record details
| NPI number | 1912289224 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Fenn — Physician · (337) 269-0136 |
| NPI enumerated | September 13, 2011 |
| Last updated in NPPES | September 13, 2011 |
| Mailing address | 204 Energy Pkwy, Suite B, Lafayette, LA 70508-3816 |
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