CCP PRIMARY CARE CENTER

Nurse Practitioner

NPI: 1336115997Organization

Specialties, Licenses & Credentials

Pain Medicine Physician

Pain Medicine — Pain Medicine

Code: 208VP0000X

022833(LA)

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

AP04512(LA)

Contact & Hours

Address: 1101 ERASTE LANDRY RD
LAFAYETTE, LA 70506
Phone: (337) 289-6690

Location

Practice Location

1101 ERASTE LANDRY RD, LAFAYETTE, LA

Quick Facts

NPI: 1336115997
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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