Ryan J Vidrine LLC

NPI #1326712308 in Lafayette, Louisiana

Provider Information

NPI Number: 1326712308
Entity Type: Organization
Organization Name: Ryan J Vidrine LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 4, 2021
Last Updated: Aug 4, 2021

Practice Location

Address: 326 SETTLERS TRACE BLVD # 201-C
City: Lafayette
State: Louisiana
ZIP Code: 70508-6091
Phone: (337) 412-8538

Authorized Official

Name: DR. RYAN J VIDRINE, DC
Title: PRESIDENT
Phone: (337) 412-8538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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