Provider Demographics
NPI:1659335545
Name:CULOTTA, FRANK J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:CULOTTA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1101 S COLLEGE RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3038
Mailing Address - Country:US
Mailing Address - Phone:337-232-2710
Mailing Address - Fax:337-232-6824
Practice Address - Street 1:1101 S COLLEGE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3038
Practice Address - Country:US
Practice Address - Phone:337-232-2710
Practice Address - Fax:337-232-6824
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
LA014728207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1337366Medicaid
LA1337366Medicaid
LAB89413Medicare UPIN
LA5CG80Medicare ID - Type UnspecifiedGROUP # (ACADIANA RETINA)