Mandy Lynn Boudreaux
Obstetrician
118 N Hospital Dr
Abbeville
, Louisiana 70510-4039
Mandy Lynn Boudreaux
Obstetrician
118 N Hospital Dr
Abbeville
, Louisiana 70510-4039
(337) 893-6369
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Mandy Lynn Boudreaux
- P O Box 1152
- Abbeville, LA
- Zip : 70511-1152
- Fax : (337) 893-6369
- Phone : (337) 893-6294
Second Address
- Mandy Lynn Boudreaux
- 118 N Hospital Dr
- Abbeville, LA
- Zip : 70510-4039
- Fax : (337) 893-6369
- Phone : (337) 893-6294
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 201161 | LA |
National Provider Identifier
| NPI | 1225123839 |
|---|---|
| Provider Name | Mandy Lynn Boudreaux |
| First Address | Abbeville, LA 70511-1152 |
| Second Address | Abbeville, LA 70510-4039 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 09/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1706639 | (05) | LA |
| UPIN # I64230 | UPIN # (01) | LA |
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.