Provider First Line Business Practice Location Address:
U L LAFAYETTE STUDENT HEALTH
Provider Second Line Business Practice Location Address:
120 BOUCHER DR.
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70504-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-482-6826
Provider Business Practice Location Address Fax Number:
337-482-6428
Provider Enumeration Date:
09/14/2009