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CONSERVATIVE MEDICAL MANAGEMENT A NPI 1376716761


NPI Information

NPI: 1376716761
Provider Name: CONSERVATIVE MEDICAL MANAGEMENT A
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 19D2009419

Address:
1103 KALISTE SALOOM RD
SUITE 202
LAFAYETTE, LA
ZIP 70508
Phone: (337) 269-6335
Get Directions

CONSERVATIVE MEDICAL MANAGEMENT A is a pain medicine anesthesiology in Lafayette, LA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. CONSERVATIVE MEDICAL MANAGEMENT A NPI is 1376716761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1103 KALISTE SALOOM RD
SUITE 202
LAFAYETTE, LA
ZIP 70508-783
Phone: (337) 269-6335
Fax: (337) 235-2765

The provider's authorized official is Mitzie B Duhon .
The authorized official title is Office Manager and has the following contact phone number (337) 269-6335.

The CLIA number assigned to this NPI record is 19D2009419 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 12/9/2009.


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
1207LP2900XAnesthesiologyPain MedicineL10009RLOUISIANAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11979732MEDICAIDLOUISIANA
2F72153MEDICARE UPINLOUISIANA
35DD82MEDICARE PINLOUISIANA

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: 11/14/2023

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