NPI 1205633203
Samantha Formica
Practice location
- Address
- 655 Marie Antoinette St APT 416, Lafayette, LA 70506-8203
- Phone
- (760) 613-7548
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1205633203
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Feb 2025
- Record last updated
- 26 Feb 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.