Provider Demographics
NPI:1760488985
Name:MAYEUX, CLAUDIA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:MICHELLE
Last Name:MAYEUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:C
Other - Middle Name:MICHELLE
Other - Last Name:MAYEUX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:114 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5725
Mailing Address - Country:US
Mailing Address - Phone:318-354-9348
Mailing Address - Fax:318-354-9269
Practice Address - Street 1:114 E 5TH ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5725
Practice Address - Country:US
Practice Address - Phone:318-354-9348
Practice Address - Fax:318-354-9269
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA02315207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1494992Medicaid
LA1494992Medicaid
LA4A621Medicare ID - Type Unspecified
G88594Medicare UPIN