Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 021559 | LA |
Y | 207VG0400X | Gynecologist | 021559 | LA |
NPI | 1124191598 |
---|---|
Provider Name | Dr. Virginia S Singleton-Alfred |
First Address | Lafayette, LA 70508-6902 |
Second Address | Lafayette, LA 70508-6902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 19/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1670090 | (05) | LA |
DG1605 | RR MEDICARE GROUP (01) | LA |
F43762 | (02) |