| Clhg-leesville Llc | |
|
1201 W Fertitta Blvd Leesville LA 71446-4637 | |
| (337) 392-9438 | |
| Not Available |
| Full Name | Clhg-leesville Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1201 W Fertitta Blvd, Leesville, Louisiana |
| Authorized Official Name and Position | Kevin James Quinn (CEO) |
| Authorized Official Contact | 3372399041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clhg-leesville Llc 1201 W Fertitta Blvd Leesville LA 71446-4637 Ph: () - | Clhg-leesville Llc 1201 W Fertitta Blvd Leesville LA 71446-4637 Ph: (337) 392-9438 |
| NPI Number | 1194411694 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194411694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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