| Pelican Medical, Wellness, And Cosmetic Center | |
|
6473 Hwy 44 Unit 103 Gonzales LA 70737-8158 | |
| (225) 257-1040 | |
| (225) 257-1043 |
| Full Name | Pelican Medical, Wellness, And Cosmetic Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6473 Hwy 44, Gonzales, Louisiana |
| Authorized Official Name and Position | Peggy Gautreau (MANAGING MEMBER) |
| Authorized Official Contact | 5042365311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Medical, Wellness, And Cosmetic Center 40230 Pelican Point Pkwy Gonzales LA 70737-8511 Ph: (504) 236-5311 | Pelican Medical, Wellness, And Cosmetic Center 6473 Hwy 44 Unit 103 Gonzales LA 70737-8158 Ph: (225) 257-1040 |
| NPI Number | 1497301709 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497301709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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