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HUBBELL DERMATOLOGY AND AESTHETICS A PROFESSIONAL MEDICAL CORPORATION NPI 1811038433


NPI Information

NPI: 1811038433
Provider Name: HUBBELL DERMATOLOGY AND AESTHETICS A PROFESSIONAL MEDICAL CORPORATION

Former Legal Business Name: ACADIANA DERMATOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 19D0894647

Address:
309 SETTLERS TRACE BLVD
STE 100
LAFAYETTE, LA
ZIP 70508
Phone: (337) 981-6065
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HUBBELL DERMATOLOGY AND AESTHETICS A PROFESSIONAL MEDICAL CORPORATION is a specialist in Lafayette, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HUBBELL DERMATOLOGY AND AESTHETICS A PROFESSIONAL MEDICAL CORPORATION NPI is 1811038433. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Acadiana Dermatology.

The provider's business location address is:

309 SETTLERS TRACE BLVD
STE 100
LAFAYETTE, LA
ZIP 70508-062
Phone: (337) 981-6065
Fax: (337) 981-6066

The provider's authorized official is Christopher Raymond Hubbell .
The authorized official title is Physician and has the following contact phone number (337) 981-6065.

The CLIA number assigned to this NPI record is 19D0894647 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/8/2007 and was last updated on 6/25/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist019067LOUISIANAYes

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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