| Cane River Family Medicine A Professional Medical Corporation | |
|
617 Bienville St Suite B Natchitoches LA 71457 | |
| (318) 238-6401 | |
| Not Available |
| Full Name | Cane River Family Medicine A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 617 Bienville St, Natchitoches, Louisiana |
| Authorized Official Name and Position | William B Luster (MD/OWNER) |
| Authorized Official Contact | 3184021483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cane River Family Medicine A Professional Medical Corporation Po Box 488 Natchitoches LA 71457 Ph: (318) 238-6401 | Cane River Family Medicine A Professional Medical Corporation 617 Bienville St Suite B Natchitoches LA 71457 Ph: (318) 238-6401 |
| NPI Number | 1225499361 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 05/20/2016 |
| Medicare PECOS PAC ID | 3870884836 |
|---|---|
| Medicare Enrollment ID | O20160622000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225499361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.204308 (Louisiana) | Primary |
| Provider Name | William B Luster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467695528 PECOS PAC ID: 5395994305 Enrollment ID: I20121008000627 |
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