| Lasalle Kidcare | |
|
121 Ninth Street Jena LA 71342 | |
| (318) 992-6988 | |
| (318) 992-6989 |
| Full Name | Lasalle Kidcare |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 121 Ninth Street, Jena, Louisiana |
| Authorized Official Name and Position | Heath M Veuleman (DIRECTOR OF CLINICS) |
| Authorized Official Contact | 3189929200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasalle Kidcare Po Box 2780 Jena LA 71342-2780 Ph: (318) 992-6988 | Lasalle Kidcare 121 Ninth Street Jena LA 71342 Ph: (318) 992-6988 |
| NPI Number | 1215111448 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 12/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215111448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 E High School Dr, Jena, LA 71342 Phone: 866-530-6111 | |
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