Individual provider · Type 1 NPI

Annie Der Avedissian, MS, MD

Student in an Organized Health Care Education/Training Program · Lafayette, LA

NPI number 1801736269 Active

Practice location

2390 W Congress St
Lafayette, LA 70506-4205

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801736269

Annie Der Avedissian, MS, MD's National Provider Identifier is 1801736269, issued on Mar 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lafayette, LA. The record was last updated on Aug 22, 2026.