O E REAVILL M D APMC NPI 1063432524

NPI Information

O E REAVILL M D, APMC is a multi-specialty clinic center in Lafayette, LA. O E REAVILL M D, APMC NPI is 1063432524. The provider is registered as an organization entity type.

The provider's business location address is:

2501 W PINHOOK RD
LAFAYETTE, LA
ZIP 70508-346
Phone: (337) 264-1000
Fax: (337) 264-7830

The provider's authorized official is Olga E Reavill .
The authorized official title is Owner and has the following contact phone number (337) 264-1000.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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