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Contact Information

MARY M YONGUE, MD
UNIVERSITY OF LOUISIANA LAFAYETTE STUDENT HEALTH SERV
120 BOUCHER DR.
LAFAYETTE, LA70504-0001
 Phone: 337-482-6826
 Fax: 337-482-6428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARY M YONGUE · (Female)

NPI Number 1326078395
Status Active
Credentials MD
Entity Individual
Enumeration date 07/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 13862
  • LA Medicaid 1301892
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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