| Louisiana Stat Care Llc | |
|
11055 Shoe Creek Dr Baton Rouge LA 70818-4022 | |
| (225) 261-4493 | |
| Not Available |
| Full Name | Louisiana Stat Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 11055 Shoe Creek Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Amanda Woodard (OWNER) |
| Authorized Official Contact | 2252614493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Stat Care Llc 11055 Shoe Creek Dr Baton Rouge LA 70818-4022 Ph: (225) 261-4493 | Louisiana Stat Care Llc 11055 Shoe Creek Dr Baton Rouge LA 70818-4022 Ph: (225) 261-4493 |
| NPI Number | 1891517512 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891517512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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