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Juan M Fukuda, MD
Pediatrics Physician in Lafayette, Louisiana
NPI 1154314904

Juan M Fukuda is a Pediatrics Physician based in Lafayette, LA. Juan M Fukuda practices in Lafayette, LA and has the professional credentials of MD. The NPI Number for Juan M Fukuda is 1154314904 and holds a License No. 14374R (Louisiana).

The current practice location address for Juan M Fukuda is 4600 Ambassador Caffery Pkwy, Lafayette, LA and can be reached out via phone at 337-521-9027 and via fax at 337-521-9164. You can also correspond with Juan M Fukuda through the mailing address at 4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA - 70508-6902 (mailing address contact number: 337-521-9027).

Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA, 70508-6902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154314904
Provider Name
Juan M Fukuda
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4600 Ambassador Caffery Pkwy, Lafayette, LA, 70508-6902
Phone Number
337-521-9027
Fax Number
337-521-9164
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1113166 05 LA
institution
Provider Business Practice Location Address Details
Address
4600 Ambassador Caffery Pkwy
City
Lafayette
State
Louisiana
Zip
70508-6902
Phone Number
337-521-9027
Fax Number
337-521-9164
person
Provider Business Mailing Address Details
Address
4600 Ambassador Caffery Pkwy
City
Lafayette
State
Louisiana
Zip
70508-6902
Phone Number
337-521-9027
Fax Number
337-521-9164
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
14374R (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
14374R (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 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
2080P0204X
License No.
14374R (Louisiana)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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