| Family First Healthcare, Llc | |
|
2 Medical Plaza Pl Minden LA 71055-3330 | |
| (318) 377-8400 | |
| (318) 377-8641 |
| Full Name | Family First Healthcare, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2 Medical Plaza Pl, Minden, Louisiana |
| Authorized Official Name and Position | Lillian Leigh Davis (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 3183778400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Healthcare, Llc 2 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-8400 | Family First Healthcare, Llc 2 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-8400 |
| NPI Number | 1801243159 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/18/2016 |
| Medicare PECOS PAC ID | 6608158084 |
|---|---|
| Medicare Enrollment ID | O20170119001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801243159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Lillian Leigh B Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306092937 PECOS PAC ID: 3173662889 Enrollment ID: I20091209000041 |
| Provider Name | Carlos A Irizarry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104971126 PECOS PAC ID: 6901945617 Enrollment ID: I20100414001003 |
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