NPI 1568474161

Cd&j Management, LLC

Organisation Preferred Provider Organization Lafayette, LA

Practice location

Address: 920 W Pinhook Rd Suite 226, Lafayette, LA 70503-2455
Phone: (337) 593-8444
Fax: (337) 593-9966

Authorised official

Name: Delilah Mouton Broussard
Title: Executive Director
Phone: (337) 593-8444

Registered specialties (3)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 11117 (LA)

Other Preferred Provider Organization providers in Louisiana →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 12067 (LA)

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 12068 (LA)

Registry record

NPI: 1568474161
Entity type: Organization
NPI issued: 12 Aug 2006
Record last updated: 22 Aug 2020

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.