Provider Demographics
NPI:1578513149
Name:LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC
Entity Type:Organization
Organization Name:LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VASSEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-237-7801
Mailing Address - Street 1:4212 W CONGRESS ST STE 2300A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6778
Mailing Address - Country:US
Mailing Address - Phone:337-237-7801
Mailing Address - Fax:337-235-1865
Practice Address - Street 1:4212 W CONGRESS ST STE 2300A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6778
Practice Address - Country:US
Practice Address - Phone:337-237-7801
Practice Address - Fax:337-235-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty