institution
Moss Street Kid Med Llc
Clinic/Center in Lafayette, Louisiana
NPI 1336268184

Moss Street Kid Med Llc is a Clinic/Center based in Lafayette, LA. Moss Street Kid Med Llc practices in Lafayette, LA. The NPI Number for Moss Street Kid Med Llc is 1336268184 and holds a License No. (Louisiana).

The current practice location address for Moss Street Kid Med Llc is 1417A Moss Street, Lafayette, LA and can be reached out via phone at 337-291-2411 and via fax at 337-291-2412. You can also correspond with Moss Street Kid Med Llc through the mailing address at 1417A MOSS ST, LAFAYETTE, LA - 70501-3654 (mailing address contact number: 337-291-2411).

Location: 1417A Moss Street, Lafayette, LA, 70501-3654
institution
Provider Profile Details
NPI Number
1336268184
Provider Name
Moss Street Kid Med Llc
Credential
Provider Entity Type
Organization
Address
1417A Moss Street, Lafayette, LA, 70501-3654
Phone Number
337-291-2411
Fax Number
337-291-2412
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1949221 05 LA
institution
Provider Business Practice Location Address Details
Address
1417A Moss Street
City
State
Zip
70501
Phone Number
337-291-2411
Fax Number
337-291-2412
person
Provider Business Mailing Address Details
Address
1417A Moss Street
City
State
Zip
70501
Phone Number
337-291-2411
Fax Number
337-291-2412
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
(Louisiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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