| Lmchh Pcp Llc | |
|
64030 Highway 434 Lacombe LA 70445-3456 | |
| (985) 690-7526 | |
| (985) 690-7819 |
| Full Name | Lmchh Pcp Llc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 64030 Highway 434, Lacombe, Louisiana |
| Authorized Official Name and Position | Glenda P Dobson (VP, CLINICAL SERVICES) |
| Authorized Official Contact | 9856907502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmchh Pcp Llc 64030 Highway 434 Lacombe LA 70445-3456 Ph: (985) 690-7526 | Lmchh Pcp Llc 64030 Highway 434 Lacombe LA 70445-3456 Ph: (985) 690-7526 |
| NPI Number | 1750541447 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750541447 | NPI | - | NPPES |
| 1305774 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 1043996 (North Carolina) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 1043996 (North Carolina) | Primary |
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