| NAME |
LAFAYETTE VA CLINIC |
| STATE |
LOUISIANA |
| STREET ADDR. 1 |
3149 AMBASSADOR CAFFERY PARKWAY |
| CITY |
LAFAYETTE |
| ZIP |
70506-7209 |
| OFFICIAL VA NAME |
LAFAYETTE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LAFAYETTE PARISH VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1275589137
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
502GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1275589137
-
- CODING SYSTEM: VASTANUM
- ID: 502GB
-
- CODING SYSTEM: CLIA
- ID: 19D2022220
|
