Evangeline Primary Care, Llc | |
503 Jack Miller Rd Ville Platte LA 70586-5607 | |
(337) 363-7036 | |
Not Available |
Full Name | Evangeline Primary Care, Llc |
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Speciality | Internal Medicine |
Location | 503 Jack Miller Rd, Ville Platte, Louisiana |
Authorized Official Name and Position | Jeffery Jake Lafleur (OWNER) |
Authorized Official Contact | 3373637036 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evangeline Primary Care, Llc 503 Jack Miller Rd Ville Platte LA 70586-5607 Ph: (337) 363-7036 | Evangeline Primary Care, Llc 503 Jack Miller Rd Ville Platte LA 70586-5607 Ph: (337) 363-7036 |
NPI Number | 1487970299 |
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Provider Enumeration Date | 04/19/2010 |
Last Update Date | 04/19/2010 |
Medicare PECOS PAC ID | 0840321568 |
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Medicare Enrollment ID | O20100624000467 |
Identifier | Type | State | Issuer |
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1487970299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD025579 (Louisiana) | Primary |
Provider Name | Jeffery J Lafleur |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578559407 PECOS PAC ID: 5799718623 Enrollment ID: I20050913000014 |
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