Lake Primary Care Physicians | |
8415 Goodwood Blvd Suite 105 Baton Rouge LA 70806-7851 | |
(225) 765-5727 | |
(225) 765-9244 |
Full Name | Lake Primary Care Physicians |
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Speciality | Internal Medicine |
Location | 8415 Goodwood Blvd, Baton Rouge, Louisiana |
Authorized Official Name and Position | Jamy Richard (DIR OF REIMBURSEMENT AND FINANCE) |
Authorized Official Contact | 2257654281 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake Primary Care Physicians 8415 Goodwood Blvd Suite 105 Baton Rouge LA 70806-7851 Ph: (225) 765-5727 | Lake Primary Care Physicians 8415 Goodwood Blvd Suite 105 Baton Rouge LA 70806-7851 Ph: (225) 765-5727 |
NPI Number | 1275577603 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 04/15/2011 |
Identifier | Type | State | Issuer |
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1275577603 | NPI | - | NPPES |
1941913 | Medicaid | LA | |
CD9919 | Other | LA | RAILROAD MEDICARE (GROUP) |
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