Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD204763 | LA |
NPI | 1013132323 |
---|---|
Provider Name | Dr. Adam N. Foreman |
First Address | Lafayette, LA 70503 |
Second Address | Lafayette, LA 70503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 03/07/2017 |