Womens & Childrens Pediatric Hematology - Oncology Center LLC

NPI #1013126408 in Lafayette, Louisiana

Provider Information

NPI Number: 1013126408
Entity Type: Organization
Organization Name: Womens & Childrens Pediatric Hematology - Oncology Center LLC
Primary Specialty: Pediatrics - Pediatric Hematology-Oncology
Enumeration Date: May 22, 2007
Last Updated: Oct 4, 2007

Practice Location

Address: 4630 AMBASSADOR CAFFERY PKWY
Address 2: SUITE 414
City: Lafayette
State: Louisiana
ZIP Code: 70508-6949
Phone: (337) 521-9239

Authorized Official

Name: MISS ROBERT J. LAGESSE
Title: VICE PRESIDENT
Phone: (615) 373-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Pediatric Hematology-Oncology — Pediatric Hematology-Oncology	2080P0207X	Primary

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