Most Relevant Information
Provider Data
| NPI Number: | 1003249640 |
| Provider Name: | LEZETTE G. VIENNE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP07376 |
Most Important Dates
| Enumeration Date: | 08/19/2013 |
| Last Updated: | 10/23/2017 |
Provider Practice Location
2390 W CONGRESS ST
LAFAYETTE
LA
705064205
Practice Location Phone/Fax
| Phone: | 3372616000 |
| Fax: |
Provider Mailing Location
2390 W CONGRESS ST
LAFAYETTE
LA
705064205
Provider Mailing Phone/Fax
| Phone: | 3372616000 |
| Fax: |