| La Paz, Llc | |
|
910 S Vienna St Ste 7 Ruston LA 71270-5864 | |
| (318) 278-0309 | |
| Not Available |
| Full Name | La Paz, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 910 S Vienna St Ste 7, Ruston, Louisiana |
| Authorized Official Name and Position | Lakysha Starks-sampson (OWNER) |
| Authorized Official Contact | 3182249200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Paz, Llc 910 S Vienna St Ste 7 Ruston LA 71270-5864 Ph: (318) 224-9200 | La Paz, Llc 910 S Vienna St Ste 7 Ruston LA 71270-5864 Ph: (318) 278-0309 |
| NPI Number | 1073015574 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073015574 | NPI | - | NPPES |
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