Mr. Matthew Earles Dauterive
Pulmonary Disease
155 Hospital Dr. Ste 101
Lafayette
, Louisiana 70503
Mr. Matthew Earles Dauterive
Pulmonary Disease
155 Hospital Dr. Ste 101
Lafayette
, Louisiana 70503
(252) 744-4887
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Mr. Matthew Earles Dauterive
- 155 Hospital Dr Ste 101
- Lafayette, LA
- Zip : 70503-2852
- Fax : (252) 744-4887
- Phone : (252) 744-5258
Second Address
- Mr. Matthew Earles Dauterive
- 155 Hospital Dr. Ste 101
- Lafayette, LA
- Zip : 70503
- Fax : (337) 234-3599
- Phone : (337) 234-3204
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | 308116 | LA |
National Provider Identifier
| NPI | 1053679530 |
|---|---|
| Provider Name | Mr. Matthew Earles Dauterive |
| First Address | Lafayette, LA 70503-2852 |
| Second Address | Lafayette, LA 70503 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2012 |
| Last Update Date | 02/11/2021 |
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.