Pediatric Group of Acadiana, LLC

NPI #1265499628 in Lafayette, Louisiana

Provider Information

NPI Number: 1265499628
Entity Type: Organization
Organization Name: Pediatric Group of Acadiana, LLC
Primary Specialty: Specialist
Enumeration Date: Apr 28, 2006
Last Updated: Dec 3, 2024

Practice Location

Address: 401 YOUNGSVILLE HWY
Address 2: SUITE 100
City: Lafayette
State: Louisiana
ZIP Code: 70508-5173
Phone: (337) 330-0031

Authorized Official

Name: ANTOINETTE RABENALDT
Title: CREDENTIALING COORDINATOR
Phone: (337) 330-2576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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