Our Lady of Lourdes Regional
Our Lady of Lourdes Regional provides Family Medicine Physician services in Erath, Louisiana. Licensed in Louisiana. Registered with an NPI since 2012.
- Licensed in
- LA
- In the registry since
- 2012
Practice location Address checks out
402 E Edward StErath, LA 70533-4114 Not confirmed with CMS for 13 years — call before visiting
Phone: (337) 937-5803
Fax: (337) 937-5806
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 13009 (LA) |
|---|
Record details
| NPI number | 1093076275 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Our Lady of Lourdes Regional |
| Authorized official | Kim Hebert — Cfo · (337) 470-2593 |
| Other names | John S Thibodeaux Md |
| NPI enumerated | June 4, 2012 |
| Last updated in NPPES | October 16, 2012 |
| Mailing address | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
Other providers in Erath
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John Sulie Thibodeaux, MD
402 E Edward St, Erath, LA 70533-4114 · (337) 470-3250