Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cityblock Medical Practice La, LLC

Organization General Practice Physician · NPI 1790447373

Cityblock Medical Practice La, LLC is a General Practice Physician in Lafayette, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1042 Camellia Blvd
Lafayette, LA 70508-6680
Phone: (800) 336-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1790447373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devon Minerve — Corporate Counsel · (202) 321-2528
NPI enumeratedOctober 11, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 7, 2021
Mailing address495 Flatbush Ave Ste C5, Brooklyn, NY 11225-3706

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