Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 5101 | LA |
NPI | 1104929306 |
---|---|
Provider Name | James M Finley |
First Address | Lafayette, LA 70508 |
Second Address | Lafayette, LA 70508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 08/07/2007 |