Lainie Van Voast Moncada
Geriatric Medicine
2390 W Congress St
Lafayette
, Louisiana 70506-4205
Lainie Van Voast Moncada
Geriatric Medicine
2390 W Congress St
Lafayette
, Louisiana 70506-4205
(337) 261-6690
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Lainie Van Voast Moncada
- 2390 W Congress St
- Lafayette, LA
- Zip : 70506-4205
- Phone : (337) 261-6690
Second Address
- Lainie Van Voast Moncada
- 2390 W Congress St
- Lafayette, LA
- Zip : 70506-4205
- Phone : (337) 261-6690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 024343 | LA |
National Provider Identifier
| NPI | 1083636880 |
|---|---|
| Provider Name | Lainie Van Voast Moncada |
| First Address | Lafayette, LA 70506-4205 |
| Second Address | Lafayette, LA 70506-4205 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 13/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1570371 | (05) | LA |
| H70329 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.