Provider Demographics
NPI:1891361259
Name:VERRET, DANIEL LOUIS (PA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LOUIS
Last Name:VERRET
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:200 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3870
Mailing Address - Country:US
Mailing Address - Phone:800-893-9698
Mailing Address - Fax:
Practice Address - Street 1:539 E PRUDHOMME ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6499
Practice Address - Country:US
Practice Address - Phone:337-948-3011
Practice Address - Fax:337-948-5126
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA328094363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant