Provider Demographics
NPI:1700082039
Name:COURMIER, FRANK WARREN JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:WARREN
Last Name:COURMIER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7265
Mailing Address - Country:US
Mailing Address - Phone:337-470-3040
Mailing Address - Fax:337-470-3052
Practice Address - Street 1:4811 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:SUITE 305
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7265
Practice Address - Country:US
Practice Address - Phone:337-470-3040
Practice Address - Fax:337-470-3052
Is Sole Proprietor?:No
Enumeration Date:2007-06-24
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRS20070284207R00000X
LAMD.206098207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2352423Medicaid
311816Medicare PIN