MANUEL MEDICAL CLINIC, INC. SITE 002
NPI 1679620603
Pediatrics in Lafayette, LA

Q: What is Manuel Medical Clinic, Inc.'s NPI number?

The NPI number for Manuel Medical Clinic, Inc. is 1679620603. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is also known as Manuel Medical Clinic, Inc. Site 002.

Q: What is Manuel Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since January 04, 2007

104 GENEVIEVE DR, LAFAYETTE, LA 70503(337) 984-0110(337) 981-7210 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2020, Mar 16, 2016 (2 updates tracked since 2016).

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About Manuel Medical Clinic, Inc. Site 002 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANUEL MEDICAL CLINIC, INC. SITE 002 (NPI 1679620603) is a healthcare organization registered as a pediatrics in Lafayette, Louisiana and active in the NPI registry since January 2007. The organization lists Powlin V Manuel, President, as its authorized official.

NPPES Registry Identity

NPI1679620603

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMANUEL MEDICAL CLINIC, INC.

Location Address104 GENEVIEVE DRLafayette, LA 70503-4811

Mailing Address104 Genevieve DrLafayette, LA 70503-4811 · (337) 984-0110 · Fax (337) 981-7210

Phone(337) 984-0110

Fax(337) 981-7210

Organization SubpartNo

Authorized OfficialPowlin V ManuelPresident · (337) 984-0110

Enumeration DateJanuary 4, 2007

Last NPPES UpdateApril 21, 20202 updates tracked since enumeration

NPPES CertifiedApril 21, 2020

✔ NPI 1679620603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP05389 (LA), AP07960 (LA)

104 GENEVIEVE DR, Lafayette, LA 70503

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Other Names 1

Other NameManuel Medical Clinic, Inc. Site 002

Other Identifiers 4

Medicaid2138332LA

Medicaid1171689LA

Medicaid2381369LA

Medicaid1033901LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC CLINIC OF LAFAYETTE LLC

Pediatrics