OrganizationActive
Ccp Medical Management, LLC
NPI 1740466440 · Pain Medicine Physician · Lafayette, LA
Provider details
- NPI number
- 1740466440
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grover Phipps, Partner(337) 896-6400
- License
- 026036 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
213 Fourpark Rd
Suite C
Lafayette, LA 70507-2481
Phone: (337) 896-6400
Fax: (337) 896-6441
Approximate (ZIP-level) locationGet directions
Mailing address
213 Fourpark Rd
Lafayette, LA 70507-2481
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2008-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.