| Kristi Prejeant Llc | |
|
1302 Lakewood Dr Suite 202 Morgan City LA 70380-1800 | |
| (985) 384-3433 | |
| (985) 384-3453 |
| Full Name | Kristi Prejeant Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1302 Lakewood Dr, Morgan City, Louisiana |
| Authorized Official Name and Position | Kristi Prejeant (OWNER) |
| Authorized Official Contact | 9853843433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Prejeant Llc 1302 Lakewood Dr Suite 202 Morgan City LA 70380-1800 Ph: (985) 384-3433 | Kristi Prejeant Llc 1302 Lakewood Dr Suite 202 Morgan City LA 70380-1800 Ph: (985) 384-3433 |
| NPI Number | 1003125790 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 7618163247 |
|---|---|
| Medicare Enrollment ID | O20101122001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003125790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10075801 (Louisiana) | Primary |
| Provider Name | Kristi C Prejeant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396758652 PECOS PAC ID: 1254362031 Enrollment ID: I20101122001264 |
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