| Cavanaugh Family Practice Llc | |
|
1114 Stelly Ln Sulphur LA 70663-5139 | |
| (337) 527-7087 | |
| (337) 527-9831 |
| Full Name | Cavanaugh Family Practice Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1114 Stelly Ln, Sulphur, Louisiana |
| Authorized Official Name and Position | Lacey Millett Cavanaugh (OWNER) |
| Authorized Official Contact | 3375277087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cavanaugh Family Practice Llc 1114 Stelly Ln Sulphur LA 70663-5139 Ph: (337) 527-7087 | Cavanaugh Family Practice Llc 1114 Stelly Ln Sulphur LA 70663-5139 Ph: (337) 527-7087 |
| NPI Number | 1538446794 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538446794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 203896 (Louisiana) | Primary |
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