Provider Demographics
NPI:1619257391
Name:LAFAYETTE HEALTH VENTURES, INC.
Entity Type:Organization
Organization Name:LAFAYETTE HEALTH VENTURES, INC.
Other - Org Name:KAREN SMITH, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF PHYSICIAN PRACTICES
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-289-8951
Mailing Address - Street 1:601 W SAINT MARY BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3568
Mailing Address - Country:US
Mailing Address - Phone:337-233-3731
Mailing Address - Fax:337-235-6900
Practice Address - Street 1:601 W SAINT MARY BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3568
Practice Address - Country:US
Practice Address - Phone:337-233-3731
Practice Address - Fax:337-235-6900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13387R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty