Lagraize, Tami T

Lagraize, Tami T is an individual health care provider with primary practice located at 155 Hospital Dr Suite 410, Lafayette LA 70503-2852. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lagraize, Tami T can be contacted via phone (337) 289-9701.

Contact Information

Primary practice address
155 Hospital Dr Suite 410 Lafayette LA 70503-2852
Fax: (337) 289-9702
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14475R Louisiana

Profile Details

NPI number 1972594331
LBN Legal business name Lagraize, Tami T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972594331 NPPES
Louisiana MEDICAID 1445819

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