LAFAYETTE WELLNESS GROUP


Address: 1042 Camellia Blvd Apt 3412, Lafayette, LA 70508-6692
Phone: 7872028247

LAFAYETTE WELLNESS GROUP (NPI# 1871124859) 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) 1871124859
Entity Type Organization
Organization Name LAFAYETTE WELLNESS GROUP
Practice Address 1042 Camellia Blvd Apt 3412
Lafayette
LA 70508-6692
Practice Telephone 7872028247
Mailing Telephone 7872028247
Enumeration Date 2020-01-29
Last Update Date 2020-01-29
Authorized Official Name DR. EDUARDO CHAMAH (PRESIDENT)
Authorized Official Telephone 7879511174
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 1042 CAMELLIA BLVD APT 3412
City LAFAYETTE
State LA
Zip Code 70508-6692

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City LAFAYETTE
Zip Code 70508

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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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