Most Relevant Information
Provider Data
| NPI Number: | 1003394891 |
| Provider Name: | STEFANIE HUMMEL THERIOT PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | PA.308907 |
Most Important Dates
| Enumeration Date: | 08/02/2018 |
| Last Updated: | 08/24/2021 |
Provider Practice Location
105 PATRIOT ST STE 101
LAFAYETTE
LA
705086831
Practice Location Phone/Fax
| Phone: | 3379812125 |
| Fax: | 3379812174 |
Provider Mailing Location
200 CORPORATE BLVD
LAFAYETTE
LA
705083870
Provider Mailing Phone/Fax
| Phone: | 8008939698 |
| Fax: |