IndividualActive
Amanda Phillips, MD
NPI 1962474064 · Sports Medicine (Family Medicine) Physician · Lafayette, LA
Provider details
- NPI number
- 1962474064
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 025853 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2390 W Congress St
Lafayette, LA 70506-4205
Phone: (337) 261-6010
Fax: (337) 261-6153
Approximate (ZIP-level) locationGet directions
Mailing address
2390 W Congress St
Lafayette, LA 70506-4205
Additional practice locations (1)
- 204 Energy PkwySuite BLafayette, LA 70508-3816Phone: (337) 269-0136Fax: (337) 233-8525
Registry dates
- Enumerated
- 2006-02-02
- Last updated
- 2022-07-14
- Certified
- 2022-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.