Provider Demographics
NPI:1427727684
Name:LAFLEUR, AARON T (DPT)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:T
Last Name:LAFLEUR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4347 MAIN HWY
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-7511
Mailing Address - Country:US
Mailing Address - Phone:337-945-5388
Mailing Address - Fax:
Practice Address - Street 1:4416 N UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70570-7057
Practice Address - Country:US
Practice Address - Phone:337-469-0002
Practice Address - Fax:337-469-0004
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11045208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty