Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW MACK ABRAHAM, LLC
Active OrganizationMATTHEW MACK ABRAHAM, LLC is a Sports Medicine (IM) organization located in LAFAYETTE, Louisiana. NPI 1548314495 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · LAFAYETTE, LA
Registration Details
- NPI Number
- 1548314495
- Provider Type
- Organization
- NPI Issued
- Jan 22, 2007 (19.597709119879 yrs)
- Last Updated
- Aug 22, 2020
- License
-
MD024082 (LA)
Practice Information
- Address
-
100 ASMA BLVDBLDG ONE, STE 205LAFAYETTE, LA, 705083858Browse LA providers · Browse ZIP 70508
- Phone
- 3372895605
- Fax
- 3372895609
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.