NPI 1033150784

Todd a Devalcourt, PA

Practitioner Physician Assistant Lafayette, LA

Practice location

Address: 4212 W Congress St STE 3100, Lafayette, LA 70506-6771
Phone: (337) 703-3201
Fax: (337) 703-3202
Mailing address: PO Box 919229, Dallas, TX 75391-9229

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence P.A.A10538 (LA)

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Registry record

NPI: 1033150784
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2006
Record last updated: 19 Sep 2019

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.