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

Manuel Medical Clinic, Inc

Organization Allergy & Immunology Physician · NPI 1679620603

Manuel Medical Clinic, Inc is an Allergy & Immunology Physician in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Genevieve Dr
Lafayette, LA 70503-4811
Phone: (337) 984-0110
Fax: (337) 981-7210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Allergy & Immunology Physician Taxonomy 207K00000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AP05389 (LA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AP07960 (LA)

Record details

NPI number1679620603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Powlin Manuel — President · (337) 984-0110
Other names Manuel Medical Clinic, Inc. Site 002; Manuel Medical Clinic, Inc. Site 002
NPI enumeratedJanuary 4, 2007
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address104 Genevieve Dr, Lafayette, LA 70503-4811

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