Mary Marelle Yongue
Family Doctor - Geriatric Medicine
University Of Louisiana Lafayette Student Health Serv 120 Boucher Dr.
Lafayette
, Louisiana 70504-0001
Mary Marelle Yongue
Family Doctor - Geriatric Medicine
University Of Louisiana Lafayette Student Health Serv 120 Boucher Dr.
Lafayette
, Louisiana 70504-0001
(337) 482-6826
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Mary Marelle Yongue
- 335 W Bridge St
- Breaux Bridge, LA
- Zip : 70517-5040
- Fax : (337) 482-6826
- Phone : (337) 332-5505
Second Address
- Mary Marelle Yongue
- University Of Louisiana Lafayette Student Health Serv 120 Boucher Dr.
- Lafayette, LA
- Zip : 70504-0001
- Fax : (337) 482-6428
- Phone : (337) 482-6826
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Is Mary Marelle Yongue a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 13862 | LA |
National Provider Identifier
| NPI | 1326078395 |
|---|---|
| Provider Name | Mary Marelle Yongue |
| First Address | Breaux Bridge, LA 70517-5040 |
| Second Address | Lafayette, LA 70504-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1301892 | (05) | LA |
| B88987 | (02) | 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.