Organization · Type 2 NPI
Southcare Medical LLC
Primary Care Clinic/Center · Lafayette, LA
NPI number
1093170433
Active
Practice location
110 Curran Ln
Lafayette, LA 70506
Fax (337) 706-7710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | MD200292 (LA) |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Family Nurse Practitioner | 363LF0000X | AP07807 (LA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1093170433
Southcare Medical LLC's National Provider Identifier is 1093170433, issued on Dec 30, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lafayette, LA. The record was last updated on Oct 5, 2022.