NPI: 1326064742 · LAFAYETTE, LA 70506 · Certified Registered Nurse Anesthetist · NPI assigned 07/15/2006
| Authorized Official | THEARD, ROBERT (MANAGING MEMBER) |
| NPI Enumeration Date | 07/15/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $748.28 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 17 | 14 | $748.28 |