Search › Louisiana › 152W00000X
Carolyn Van
NPI 1366827586 · on the registry since 2015
Practice
- Address
- 201 Meadow Farm Dr.
Inside Of Costco
Lafayette, LA 70508 - Phone
- (337) 541-7040
- Fax
- (337) 541-7041
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana