Banee Madison, P.A
Physician Assistant in Lafayette, LA. Individual provider (NPI-1).
NPI number1083017271
StatusActive
Last updated in NPPESNov 5, 2014
Details
- NPI
- 1083017271
- Entity type
- Individual (NPI-1)
- Name
- Banee Madison
- Credential
- P.A
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2014
- Last updated
- Nov 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 200759 | LA | Yes |
Practice location
4600 Ambassador Caffery PkwyLafayette, LA 70508-6902
Phone 337-561-9100
Mailing address
4600 Ambassador Caffery PkwyLafayette, LA 70508-6902
Phone 337-561-9100
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