NPI 1104825371

Jason R Comeaux, PAC

Practitioner Physician Assistant Lafayette, LA

Practice location

Address: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917
Phone: (337) 470-2605
Fax: (337) 470-4595
Mailing address: 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA10608RX (LA)

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Registry record

NPI: 1104825371
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2005
Record last updated: 7 Mar 2025

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.