Lafayette Podiatry Center, LLC

NPI #1205032448 in Lafayette, Louisiana

Provider Information

NPI Number: 1205032448
Entity Type: Organization
Organization Name: Lafayette Podiatry Center, LLC
Primary Specialty: Podiatrist
Enumeration Date: Jun 25, 2007
Last Updated: Dec 19, 2007

Practice Location

Address: 205 BONAIRE DR
City: Lafayette
State: Louisiana
ZIP Code: 70506-6827
Phone: (504) 889-0347

Authorized Official

Name: SCOTT M BEARSTO, DPM
Title: OWNER
Phone: (504) 889-0347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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