| Lutcher Family Clinic | |
|
1731 Lutcher Ave Lutcher LA 70071-0000 | |
| (225) 869-9890 | |
| (225) 869-3822 |
| Full Name | Lutcher Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1731 Lutcher Ave, Lutcher, Louisiana |
| Authorized Official Name and Position | Cullen M Ocmond (PHYSICIAN) |
| Authorized Official Contact | 2258699890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutcher Family Clinic 1731 Lutcher Ave Lutcher LA 70071-0000 Ph: (225) 869-9890 | Lutcher Family Clinic 1731 Lutcher Ave Lutcher LA 70071-0000 Ph: (225) 869-9890 |
| NPI Number | 1508186172 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508186172 | NPI | - | NPPES |
| 1072940 | Medicaid | LA | |
| 1053588467 | Other | LA | DR'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203080 (Louisiana) | Primary |
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