Laville, Mary Lois
Laville, Mary Lois is an individual health care provider with primary practice located at 4630 Ambassador Caffery Pkwy Suite 412, Lafayette LA 70508-6949. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Laville, Mary Lois can be contacted via phone (337) 993-3933.Contact Information
Primary practice address
4630 Ambassador Caffery Pkwy Suite 412
Lafayette LA 70508-6949
Phone: (337) 993-3933
Fax: (337) 993-2689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 018789 | Louisiana |
Profile Details
| NPI number | 1942282330 |
|---|---|
| LBN Legal business name | Laville, Mary Lois |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2005 |
| Last updated | Jul 13th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942282330 | NPPES |
| Louisiana | Other | 4375751 | AETNA |
| Louisiana | Other | DC2141 | AETNA |
| Louisiana | MEDICAID | 1399345 | AETNA |
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