2707 Laf Snf LLC
NPI #1700531993 in Lafayette, Louisiana
Provider Information
- NPI Number
- 1700531993
- Entity Type
- Organization
- Organization Name
- 2707 Laf Snf LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 16, 2022
- Last Updated
- Feb 18, 2022
Practice Location
Authorized Official
- Name
- CHARLES MOODY III
- Title
- AUTHORIZED AGENT
- Phone
- (225) 939-6766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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