Provider Demographics
NPI:1710947304
Name:FRANKLIN PRACTICE, LLC
Entity Type:Organization
Organization Name:FRANKLIN PRACTICE, LLC
Other - Org Name:ROBERT D FRANKLIN MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:VACCARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-264-9363
Mailing Address - Street 1:101 B ENERGY PKWY
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-264-9363
Mailing Address - Fax:337-234-0310
Practice Address - Street 1:101 B ENERGY PKWY
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-264-9363
Practice Address - Fax:337-234-0310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL07234R208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty