| La Paz, Llc | |
|
1404 S Vienna St Ruston LA 71270-6428 | |
| (318) 224-9200 | |
| (318) 224-9201 |
| Full Name | La Paz, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1404 S Vienna St, Ruston, Louisiana |
| Authorized Official Name and Position | Lakysha Starks- Sampson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3182102996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Paz, Llc 1406 S Vienna St Ruston LA 71270-6428 Ph: () - | La Paz, Llc 1404 S Vienna St Ruston LA 71270-6428 Ph: (318) 224-9200 |
| NPI Number | 1548936925 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548936925 | NPI | - | NPPES |
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