Provider First Line Business Practice Location Address:
U L L STUDENT HEALTH SERVICES
Provider Second Line Business Practice Location Address:
120 BOUCHER ST.
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70504-3692
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-482-5464
Provider Business Practice Location Address Fax Number:
337-482-6428
Provider Enumeration Date:
07/10/2006