Provider Demographics
NPI:1639195639
Name:VIGEE, DARREN MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:MICHAEL
Last Name:VIGEE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:64301 HIGHWAY 434
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-5411
Mailing Address - Country:US
Mailing Address - Phone:985-649-9795
Mailing Address - Fax:985-882-4501
Practice Address - Street 1:985 ROBERT BLVD STE 103
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2063
Practice Address - Country:US
Practice Address - Phone:985-649-9795
Practice Address - Fax:985-882-4501
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPD261R213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5E645CQ86Medicare PIN
LAU75465Medicare UPIN
LA5E645CQ87Medicare PIN
LAP00226970Medicare PIN