| Pelican Medical Clinic Llc | |
|
7 Lagi St La Place LA 70068-8408 | |
| (504) 355-7453 | |
| Not Available |
| Full Name | Pelican Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7 Lagi St, La Place, Louisiana |
| Authorized Official Name and Position | Letha Haynes (OWNER) |
| Authorized Official Contact | 5043557453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Medical Clinic Llc 54 Veterans Blvd Donaldsonville LA 70346-2450 Ph: (504) 355-7453 | Pelican Medical Clinic Llc 7 Lagi St La Place LA 70068-8408 Ph: (504) 355-7453 |
| NPI Number | 1205230760 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205230760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RRT 421 (Louisiana) | Primary |
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