| J Eric Lavespere Dds Llc | |
|
2005 Forsythe Ave Monroe LA 71201 | |
| (318) 388-2630 | |
| (318) 322-4537 |
| Full Name | J Eric Lavespere Dds Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2005 Forsythe Ave, Monroe, Louisiana |
| Authorized Official Name and Position | Lila C Waliman (BOOKKEEPER SECRETARY) |
| Authorized Official Contact | 3183882630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Eric Lavespere Dds Llc 2005 Forsythe Ave Monroe LA 71201 Ph: (318) 388-2630 | J Eric Lavespere Dds Llc 2005 Forsythe Ave Monroe LA 71201 Ph: (318) 388-2630 |
| NPI Number | 1699942060 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699942060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 4708 (Louisiana) | Primary |
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