DR. STEPHEN J. DELATTE


Address: 100 Drury Lane, Lafayette, LA 70508
Phone: 3372694949

DR. STEPHEN J. DELATTE (NPI# 1245253194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245253194
Entity Type Individual
Full Name DR. STEPHEN J. DELATTE
Credential MD
Practice Address 100 Drury Lane
Lafayette
LA 70508
Practice Telephone 3372694949
Practice Fax Number 3372694950
Mailing Telephone 3372694949
Mailing Fax Number 3372694950
Enumeration Date 2006-07-25
Last Update Date 2019-09-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD200512 LA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1590347 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
917 Coolidge Blvd, Lafayette, LA 705033060 3372694949 3372694950
100 Drury Lane, Lafayette, LA 70508 3372694949 3372694950

Office Location

Street Address 100 DRURY LANE
City LAFAYETTE
State LA
Zip Code 70508

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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NPI Name Taxonomy Address Enumeration
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1659828606 Larissa Geleris Specialist 3400 Mt Diablo Blvd, Suite 200, Lafayette, CA 94549-3956 2016-09-07
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1770933228 Allison O'grady Specialist 995 S Creasy Ln, Lafayette, IN 47905-4800 2016-06-15
1568816064 Cecile Marie Picou Specialist 114 Greenhaven Dr, Lafayette, LA 70508-6545 2016-04-20
1922438522 Indiana Wellness, LLC Specialist 1221 S Creasy Ln Ste K3, Lafayette, IN 47905-7430 2013-11-18
1073947701 Onsite Healthcare Solutions, LLC Specialist 208 River Oak Cir, Lafayette, LA 70508-6742 2013-08-29
1083964167 Sheila Kitson Stosick Specialist 3253 Judy Ln, Lafayette, CA 94549-4707 2012-09-14
1598030181 Neuro Diagnostic Monitoring, LLC Specialist 106 Amaryllis Dr, Lafayette, LA 70503-3215 2012-03-14
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Competitor

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City LAFAYETTE
Zip Code 70508

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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