Provider Demographics
NPI:1235025529
Name:FRANCIS, ROBERT JOHN JR
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOHN
Last Name:FRANCIS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 COURET DR STE D
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-6319
Mailing Address - Country:US
Mailing Address - Phone:337-580-5754
Mailing Address - Fax:
Practice Address - Street 1:101 COURET DR STE D
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-6319
Practice Address - Country:US
Practice Address - Phone:337-580-5754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA006361512172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver