Mary Triche Moron in Lafayette - Pediatrics
Mary Triche Moron - NPI 1659598795
Mary Triche Moron is a Pediatrics in Lafayette, Louisiana. Mary Triche Moron practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Triche Moron is 1659598795. The last update date is 2019-10-22.
Mary Triche Moron's current location address is 1002 12th St, Lafayette, Louisiana. You can contact this provider via phone number 3375340107 and fax number 3375340184. The mailing address for Mary Triche Moron is 1002 12th St, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Triche Moron |
|---|---|
| Address | 1002 12th St, Lafayette, Louisiana |
| Phone Number | 3375340107 |
| Fax Number | 3375340184 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1659598795 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2019-10-22 |
Provider Mailing Address Detail
| Address | 1002 12th St |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705016224 |
| Phone Number | 3375340107 |
| Fax Number | 3375340184 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | AP03778 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1140082 | LA | -- |
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What is the unique 10-digit identifier code assigned to Mary Triche Moron by the Centers for Medicare & Medicaid Services?
The Mary Triche Moron has been issued the NPI (National Provider Identifier) 1659598795 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mary Triche Moron is physically located?
The Mary Triche Moron is physically situated at the following address: 1002 12Th St, Lafayette, LA, 705016224.
What is the Mary Triche Moron's specialty and taxonomy code?
The Mary Triche Moron's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date was the 1659598795 assigned to Mary Triche Moron?
The Mary Triche Moron was issued its 1659598795 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mary Triche Moron's details last updated?
The information pertaining to the Mary Triche Moron, including its address, specialty, and other details, was most recently updated on 2019-10-22.