Provider Demographics
NPI:1205077278
Name:ALLEYN, AMANDA LEMOINE (MD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:LEMOINE
Last Name:ALLEYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:ANN
Other - Last Name:LEMOINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:155 HOSPITAL DR STE 303
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2852
Mailing Address - Country:US
Mailing Address - Phone:337-235-4460
Mailing Address - Fax:337-235-3060
Practice Address - Street 1:155 HOSPITAL DR STE 303
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2852
Practice Address - Country:US
Practice Address - Phone:337-235-4460
Practice Address - Fax:337-235-3060
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-20
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA204930207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology