MOSS STREET KID MED LLC is a clinic center in Lafayette, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MOSS STREET KID MED LLC NPI is 1336268184. The provider is registered as an organization entity type.
The provider's business location address is:
1417A MOSS STREET
LAFAYETTE, LA
ZIP 70501
Phone: (337) 291-2411
Fax: (337) 291-2412
The provider's authorized official is Desiree P Richard .
The authorized official title is Onwer and has the following contact phone number (337) 291-2411.
The enumeration date for this NPI number is 3/29/2007 and was last updated on 3/25/2009.