Dustin Dorsey
Dustin Dorsey is a PACE Provider Organization in Lafayette, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2015
Practice location Address checks out
203 Hallmark AveLafayette, LA 70508-7766
Phone: (337) 356-8050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X · Licence 47-1407033 (LA) |
|---|
Record details
| NPI number | 1659767713 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2015 |
| Last updated in NPPES | April 15, 2015 |
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