NPI 1174825202

Our Lady of Lourdes Dba James Mwatibo, M.D.

Organisation Family Medicine Physician Lafayette, LA

Practice location

Address: 850 N Pierce St STE D, Lafayette, LA 70501-2848
Phone: (337) 233-2115
Fax: (337) 237-9075

Authorised official

Name: Willilam Barrow
Title: Ceo
Phone: (337) 289-2000

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 14561R (LA)

Other Family Medicine providers in Louisiana →

Registry record

NPI: 1174825202
Entity type: Organization
NPI issued: 22 Nov 2010
Record last updated: 22 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.