Provider Demographics
NPI:1982045035
Name:LAFAYETTE FAMILY HEALTHCARE INC
Entity Type:Organization
Organization Name:LAFAYETTE FAMILY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LELEUX
Authorized Official - Suffix:
Authorized Official - Credentials:NONE
Authorized Official - Phone:337-367-6813
Mailing Address - Street 1:6400 HIGHWAY 90 W
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-7836
Mailing Address - Country:US
Mailing Address - Phone:337-367-6813
Mailing Address - Fax:
Practice Address - Street 1:2008 ERASTE LANDRY RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-1913
Practice Address - Country:US
Practice Address - Phone:337-580-2867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARC OF ACADIANA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-17
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q25620Medicare UPIN
LA1464589Medicaid