NPI 1003394891

Stefanie Hummel Theriot, PAC

Practitioner Physician Assistant Lafayette, LA

Practice location

Address: 105 Patriot St STE 101, Lafayette, LA 70508-6831
Phone: (337) 981-2125
Fax: (337) 981-2174
Mailing address: 200 Corporate Blvd, Lafayette, LA 70508-3870

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 308907 (LA)

Other Physician Assistant providers in Louisiana →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA.308907 (LA)

Registry record

NPI: 1003394891
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2018
Record last updated: 24 Aug 2021

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.