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328 Kellogg Ave Lake Arthur LA 70549 | |
(337) 774-0100 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 328 Kellogg Ave, Lake Arthur, Louisiana |
Authorized Official Name and Position | Dana Williams (CEO) |
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) 616-7000 | 328 Kellogg Ave Lake Arthur LA 70549 Ph: (337) 774-0100 |
NPI Number | 1578911285 |
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Provider Enumeration Date | 06/03/2016 |
Last Update Date | 12/28/2018 |
Identifier | Type | State | Issuer |
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1578911285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |