| Doctor Name: | MANDY LYNN BOUDREAUX |
| NPI Number: | 1225123839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 201161 |
| Business Practice Address: | 118 N Hospital Dr Abbeville, LA - 705104039 |
| Business Phone Number: | 3378936294 |
| Business Fax Number: | 3378936369 |
| Mailing Address: | P O Box 1152, ABBEVILLE |
| State: | LA |
| Postal Code: | 705111152 |
| Phone Number: | 3378936294 |
| Fax Number: | 3378936369 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 01/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | 201161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |