Stefanie Hummel Theriot, PA-C

NPI #1003394891 in Lafayette, Louisiana

Provider Information

NPI Number
1003394891
Entity Type
Individual
Name
Stefanie Hummel Theriot, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 2, 2018
Last Updated
Aug 24, 2021

Practice Location

Address
105 PATRIOT ST STE 101
ZIP Code
70508-6831
Phone
(337) 981-2125

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical
Physician Assistant

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