| Bonnie Lejeune Buller, Llc | |
|
207 N Service Rd E Pmb 184 Ruston LA 71270-2805 | |
| (225) 663-0205 | |
| Not Available |
| Full Name | Bonnie Lejeune Buller, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 207 N Service Rd E, Ruston, Louisiana |
| Authorized Official Name and Position | Bonnie Lejeune Buller (OWNER) |
| Authorized Official Contact | 2256630205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Lejeune Buller, Llc 207 N Service Rd E Pmb 184 Ruston LA 71270-2805 Ph: (225) 663-0205 | Bonnie Lejeune Buller, Llc 207 N Service Rd E Pmb 184 Ruston LA 71270-2805 Ph: (225) 663-0205 |
| NPI Number | 1972938769 |
|---|---|
| Provider Enumeration Date | 09/11/2013 |
| Last Update Date | 09/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972938769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11837 (Louisiana) | Primary |
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