Provider Demographics
NPI:1972818128
Name:BELLE, PAULA
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:BELLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 JOHNSTON ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3276
Mailing Address - Country:US
Mailing Address - Phone:337-234-0197
Mailing Address - Fax:337-234-6939
Practice Address - Street 1:2901 JOHNSTON ST
Practice Address - Street 2:SUITE 301
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3276
Practice Address - Country:US
Practice Address - Phone:337-234-0197
Practice Address - Fax:337-234-6939
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist