| Oh Project- Northshore | |
|
190 Greenbrier Blvd Ste 105 Covington LA 70433-7237 | |
| (985) 276-3040 | |
| Not Available |
| Full Name | Oh Project- Northshore |
|---|---|
| Speciality | General Practice |
| Location | 190 Greenbrier Blvd Ste 105, Covington, Louisiana |
| Authorized Official Name and Position | Tyrone Luster (OWNER) |
| Authorized Official Contact | 9016262129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oh Project- Northshore Po Box 957 Madisonville LA 70447-0957 Ph: () - | Oh Project- Northshore 190 Greenbrier Blvd Ste 105 Covington LA 70433-7237 Ph: (985) 276-3040 |
| NPI Number | 1700354453 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 11/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700354453 | NPI | - | NPPES |
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