Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 020990 | LA |
NPI | 1811994759 |
---|---|
Provider Name | Dr. Christopher Hebert |
First Address | Lafayette, LA 70508-5739 |
Second Address | Lafayette, LA 70508-5739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 29/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1986089 | (05) | LA |
F76489 | (02) | LA |