| Fleur De Lis Family Care | |
|
301 Helios Ave Metairie LA 70005-3756 | |
| (786) 546-1021 | |
| (504) 831-3778 |
| Full Name | Fleur De Lis Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Helios Ave, Metairie, Louisiana |
| Authorized Official Name and Position | Luis Roberto Arencibia (OWNER) |
| Authorized Official Contact | 7865461021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fleur De Lis Family Care 301 Helios Ave Metairie LA 70005-3756 Ph: (786) 546-1021 | Fleur De Lis Family Care 301 Helios Ave Metairie LA 70005-3756 Ph: (786) 546-1021 |
| NPI Number | 1467781476 |
|---|---|
| Provider Enumeration Date | 12/22/2009 |
| Last Update Date | 12/22/2009 |
| Medicare PECOS PAC ID | 7517094063 |
|---|---|
| Medicare Enrollment ID | O20100415000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467781476 | NPI | - | NPPES |
| APPLIED FOR | Other | LA | PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.202162 (Louisiana) | Primary |
| Provider Name | Luis R Arencibia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528266509 PECOS PAC ID: 6002972726 Enrollment ID: I20090304000813 |
| Provider Name | Lisa A Prestenback-dufrene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235499864 PECOS PAC ID: 7719142249 Enrollment ID: I20120706000110 |
| Provider Name | Christopher B Rue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689173296 PECOS PAC ID: 0446511349 Enrollment ID: I20180705001004 |
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