Graduated: 2009
NPI: 1467782193
Practice Locations (2)
LAFAYETTE HEALTH VENTURES INC
1214 COOLIDGE BLVD
LAFAYETTE, LA 705032621
3372897991
EASTERN MAINE MEDICAL CENTER
489 STATE ST
BANGOR, ME 044016616
2079737000
Source: CMS National Downloadable File, September 2026.