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Southcare Medical Llc
Family Nurse Practitioner in Lafayette, Louisiana
NPI 1093170433

Southcare Medical Llc is a Family Nurse Practitioner based in Lafayette, LA and is specialized in Family. Southcare Medical Llc practices in Lafayette, LA. The NPI Number for Southcare Medical Llc is 1093170433 and holds a License No. MD200292 (Louisiana).

The current practice location address for Southcare Medical Llc is 110 Curran Ln, Lafayette, LA and can be reached out via phone at 337-706-7700 and via fax at 337-706-7710.

Location: 110 Curran Ln, Lafayette, LA, 70506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093170433
Provider Name
Southcare Medical Llc
Credential
Provider Entity Type
Organization
Address
110 Curran Ln, Lafayette, LA, 70506
Phone Number
337-706-7700
Fax Number
337-706-7710
Provider Enumeration Date
12/30/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19D2091426 01 LA CLIA WAIVER
2409930 05 LA
institution
Provider Business Practice Location Address Details
Address
110 Curran Ln
City
Lafayette
State
Louisiana
Zip
70506
Phone Number
337-706-7700
Fax Number
337-706-7710
person
Provider Business Mailing Address Details
Address
110 Curran Ln
City
Lafayette
State
Louisiana
Zip
70506
Phone Number
337-706-7700
Fax Number
337-706-7710
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
AP07807 (Louisiana)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
MD200292 (Louisiana)
Definition
Definition to come...
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