person
Mary Maitland Deland, MD
Radiation Oncology Physician in Lafayette, Louisiana
NPI 1114940046

Mary Maitland Deland is a Radiation Oncology Physician based in Lafayette, LA and is specialized in Radiation Oncology. Mary Maitland Deland practices in Lafayette, LA and has the professional credentials of MD. The NPI Number for Mary Maitland Deland is 1114940046 and holds a License No. 05746R (Louisiana).

The current practice location address for Mary Maitland Deland is 1507 Alice Dr, Lafayette, LA and can be reached out via phone at 337-989-0812 and via fax at 337-284-3799. You can also correspond with Mary Maitland Deland through the mailing address at 1507 ALICE DR, LAFAYETTE, LA - 70503-5083 (mailing address contact number: 337-989-0812).

Location: 1507 Alice Dr, Lafayette, LA, 70503-5083
person
Provider Profile Details
NPI Number
1114940046
Provider Name
Mary Maitland Deland
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1507 Alice Dr, Lafayette, LA, 70503-5083
Phone Number
337-989-0812
Fax Number
337-284-3799
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1319236 05 LA
P00475837 01 LA MEDICARE RR
5DX68 01 LA ONCOLOGICS LLC GROUP PTAN EFFECTIVE 05/19/2012
5L616DX68 01 LA M. MAITLAND DELAND MEDICARE PTAN EFFECTIVE 05/19/2012
institution
Provider Business Practice Location Address Details
Address
1507 Alice Dr
City
State
Zip
70503-5083
Phone Number
337-989-0812
Fax Number
337-284-3799
person
Provider Business Mailing Address Details
Address
1507 Alice Dr
City
State
Zip
70503-5083
Phone Number
337-989-0812
Fax Number
337-284-3799
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
05746R (Louisiana)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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