Provider Demographics
NPI:1063433928
Name:KRAWCZYK, JULIAN J (MD)
Entity type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:J
Last Name:KRAWCZYK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4809 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-8800
Mailing Address - Country:US
Mailing Address - Phone:337-769-8660
Mailing Address - Fax:337-769-8661
Practice Address - Street 1:4809 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8800
Practice Address - Country:US
Practice Address - Phone:337-769-8660
Practice Address - Fax:337-769-8661
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2016-03-09
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Provider Licenses
StateLicense IDTaxonomies
LA14027R2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA14027ROtherSTATE MEDICAL LICENSE
LA4A144DX68OtherJULIAN KRAWCZYK MEDICARE PTAN EFFECTIVE 05/19/2012
LA5DX68OtherONCOLOGICS LLC MEDICARE PTAN EFFECTIVE 05/19/2012
LAPTAN 330560ZLACOtherLINKED TO GROUP PTAN 381439 EFFECTIVE 10-31-14
LA1180131Medicaid
LA4A144DX68OtherJULIAN KRAWCZYK MEDICARE PTAN EFFECTIVE 05/19/2012
LA5DX68OtherONCOLOGICS LLC MEDICARE PTAN EFFECTIVE 05/19/2012