Individual provider · Type 1 NPI

Makayla Grace Chalacoff, PA-C

Medical Physician Assistant · Lafayette, LA

NPI number 1346004561 Active

Practice location

1211 Coolidge Blvd Ste 303
Lafayette, LA 70503-2636

Mailing address

513 Stoneriver Dr
Birmingham, AL 35211-4556

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X349973 (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1346004561

Makayla Grace Chalacoff, PA-C's National Provider Identifier is 1346004561, issued on Feb 8, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lafayette, LA. The record was last updated on Jun 22, 2026.