Sola Pediatrics
Pediatrics in Lafayette, LA. Organization (NPI-2).
NPI number1124565296
StatusActive
Last updated in NPPESJan 26, 2017
Details
- NPI
- 1124565296
- Entity type
- Organization (NPI-2)
- Legal business name
- Sola Pediatrics
- Organization subpart
- No
- Enumeration date
- Jan 26, 2017
- Last updated
- Jan 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 2080S0010X | Pediatrics, Sports Medicine | – | – |
Practice location
200 Liberty AveLafayette, LA 70508
Phone 337-989-8080 · Fax 337-981-0913
Mailing address
4650 Ambassador Caffery Pkwy Ste 105Lafayette, LA 70508-6926
Phone 337-989-8080 · Fax 337-981-0913
Authorized official
Richard Warren Pratt
Owner
3379898080
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