Provider Demographics
NPI:1417378027
Name:LAFAYETTE HEALTH VENTURES, INC.
Entity Type:Organization
Organization Name:LAFAYETTE HEALTH VENTURES, INC.
Other - Org Name:NEUROSCIENCE CENTER OF ACADIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-289-8282
Mailing Address - Street 1:136 HOSPITAL DR
Mailing Address - Street 2:100
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2819
Mailing Address - Country:US
Mailing Address - Phone:337-289-8282
Mailing Address - Fax:337-289-8283
Practice Address - Street 1:136 HOSPITAL DR
Practice Address - Street 2:100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2819
Practice Address - Country:US
Practice Address - Phone:337-289-8282
Practice Address - Fax:337-289-8283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty