| Premise Health Of Louisiana Medical Professional Medical Corporation | |
|
2235 Jacob Dr Chalmette LA 70043-5817 | |
| (504) 278-6738 | |
| (210) 479-2010 |
| Full Name | Premise Health Of Louisiana Medical Professional Medical Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2235 Jacob Dr, Chalmette, Louisiana |
| Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Louisiana Medical Professional Medical Corporation 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Louisiana Medical Professional Medical Corporation 2235 Jacob Dr Chalmette LA 70043-5817 Ph: (504) 278-6738 |
| NPI Number | 1275355448 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275355448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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