Whalio Doctors

NPI 1861701153

Norman L. Dykes, MD, Apmc

Organisation Preferred Provider Organization Lafayette, LA

Practice location

Address
105 Sheridan Dr, Lafayette, LA 70506-2609
Phone
(337) 234-1119

Authorised official

Name
Norman Lee Dykes
Title
Owner
Phone
(337) 234-1119

Registered specialties (2)

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X Licence 05243R (LA)
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X Licence 02543R (LA)

Registry record

NPI
1861701153
Entity type
Organization
NPI issued
4 Oct 2010
Record last updated
4 Jan 2011

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.