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DIABETES RELIEF OF ACADIANA LLC NPI 1023775475


NPI Information

NPI: 1023775475
Provider Name: DIABETES RELIEF OF ACADIANA LLC
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

CLIA Number: 19D2246739

Address:
1223 CAMELLIA BLVD STE 100
LAFAYETTE, LA
ZIP 70508
Phone: (337) 270-9093
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DIABETES RELIEF OF ACADIANA LLC is a public health and general preventive medicine preventive medicine in Lafayette, LA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DIABETES RELIEF OF ACADIANA LLC NPI is 1023775475. The provider is registered as an organization entity type.

The provider's business location address is:

1223 CAMELLIA BLVD STE 100
LAFAYETTE, LA
ZIP 70508-220
Phone: (337) 270-9093
Fax: (337) 270-9094

The provider's authorized official is Jamie Holmes .
The authorized official title is Managing Employee and has the following contact phone number (337) 962-2488.

The CLIA number assigned to this NPI record is 19D2246739 - other - diabetes clinic, insulin with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2021 and was last updated on 8/3/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QI0500XClinic/CenterInfusion TherapyNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
42083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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