Full Name | |
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Speciality | Family Medicine |
Location | 107 S Elms St, Welsh, Louisiana |
Authorized Official Name and Position | Jon D Lamb (CLINICAL ANALYST) |
Authorized Official Contact | 3376167000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1634 Elton Rd Jennings LA 70546-3614 Ph: (337) 616-7032 | 107 S Elms St Welsh LA 70591-4211 Ph: (337) 616-7000 |
NPI Number | 1992469373 |
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Provider Enumeration Date | 10/22/2021 |
Last Update Date | 07/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992469373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |