Occucare International Lafayette

NPI #1164956827 in Broussard, Louisiana

Provider Information

NPI Number: 1164956827
Entity Type: Organization
Organization Name: Occucare International Lafayette
Primary Specialty: Emergency Medicine
Enumeration Date: Apr 19, 2017
Last Updated: Apr 19, 2017

Practice Location

Address: 1028 FORUM DR
City: Broussard
State: Louisiana
ZIP Code: 70518-8060
Phone: (337) 704-0891

Authorized Official

Name: DR. MICHAEL L ODINET, M.D.
Title: CHIEF MEDICAL OFFICER
Phone: (337) 704-0920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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