WOMENS & CHILDRENS PEDIATRIC HEMATOLOGY - ONCOLOGY CENTER LLC NPI 1013126408

NPI Information

WOMENS & CHILDRENS PEDIATRIC HEMATOLOGY - ONCOLOGY CENTER LLC is a pediatric hematology-oncology pediatrics in Lafayette, LA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. WOMENS & CHILDRENS PEDIATRIC HEMATOLOGY - ONCOLOGY CENTER LLC NPI is 1013126408. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4630 AMBASSADOR CAFFERY PKWY
SUITE 414
LAFAYETTE, LA
ZIP 70508-949
Phone: (337) 521-9239
Fax: (337) 521-9268

The provider's authorized official is Robert J. Lagesse .
The authorized official title is Vice President and has the following contact phone number (615) 373-7600.

The CLIA number assigned to this NPI record is 19D1079557 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 10/4/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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