Dr JOHN S THIBODEAUX is a male medical professional, specializing in Family Medicine. He graduated in 1974 from Louisiana State University School Of Medicine In New Orleans.
LSUHN BILLING LLC
2390 W CONGRESS ST
LAFAYETTE
LA
705064205
Tel: 3372616000
| Npi | 1144243007 |
| Pac Id | 1052315843 |
| Professional Enrollment Id | I20080513000498 |
| Last Name | THIBODEAUX |
| First Name | JOHN |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LSUHN BILLING LLC |
| Group Practice Pac Id | 0446337802 |
| Number Of Group Practice Members | 228 |
| Line 1 Street Address | 2390 W CONGRESS ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 705064205 |
| Phone Number | 3372616000 |
| Hospital Affiliation Ccn 1 | 190034 |
| Hospital Affiliation Lbn 1 | ABBEVILLE GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 190064 |
| Hospital Affiliation Lbn 2 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 190006 |
| Hospital Affiliation Lbn 3 | UNIVERSITY HOSPITAL & CLINICS |
| Hospital Affiliation Ccn 4 | 190102 |
| Hospital Affiliation Lbn 4 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 5 | 190263 |
| Hospital Affiliation Lbn 5 | HEART HOSPITAL OF LAFAYETTE |
| Professional Accepts Medicare Assignment | Y |
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