Provider Demographics
NPI:1174594857
Name:LAHAYE, WAYNE GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:GEORGE
Last Name:LAHAYE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 VIDRINE RD
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-8706
Mailing Address - Country:US
Mailing Address - Phone:337-506-3500
Mailing Address - Fax:337-506-3560
Practice Address - Street 1:4940 VIDRINE RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-8706
Practice Address - Country:US
Practice Address - Phone:337-506-3500
Practice Address - Fax:337-506-3560
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9531207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1068501Medicaid
LAB89888Medicare UPIN
LA53740Medicare ID - Type Unspecified