Provider Demographics
NPI:1073510897
Name:MANUEL, FRANCINE A (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:A
Last Name:MANUEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4809 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6917
Mailing Address - Country:US
Mailing Address - Phone:337-988-8810
Mailing Address - Fax:337-988-8844
Practice Address - Street 1:4809 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6917
Practice Address - Country:US
Practice Address - Phone:337-988-8810
Practice Address - Fax:337-988-8844
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2012-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA018259207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA080056425OtherPALMETTO GBA - RAILROAD M
LA1357871Medicaid
LA1357871Medicaid
B63144Medicare UPIN