Organization · Type 2 NPI
Cityblock Medical Practice La, LLC
General Practice Physician · Lafayette, LA
NPI number
1790447373
Active
Practice location
1042 Camellia Blvd
Lafayette, LA 70508-6680
Mailing address
495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1790447373
Cityblock Medical Practice La, LLC's National Provider Identifier is 1790447373, issued on Oct 11, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lafayette, LA. The record was last updated on Oct 11, 2021.