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10900 Highway 3125 Ste F Lutcher LA 70071-5639 | |
(225) 869-5043 | |
(225) 869-8400 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 10900 Highway 3125, Lutcher, Louisiana |
Authorized Official Name and Position | Richard L. Granger (OWNER) |
Authorized Official Contact | 2258695043 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10900 Highway 3125 Ste F Lutcher LA 70071-5639 Ph: (225) 869-5043 | 10900 Highway 3125 Ste F Lutcher LA 70071-5639 Ph: (225) 869-5043 |
NPI Number | 1477856771 |
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Provider Enumeration Date | 12/08/2010 |
Last Update Date | 01/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477856771 | NPI | - | NPPES |
1360163 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 976-139T (Louisiana) | Primary |
Rejuvenate Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1935 Lutcher Ave, Lutcher, LA 70071 Phone: 225-806-1168 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1910 W. Main St, Lutcher, LA 70071 Phone: 866-530-6111 | |
Turner Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2468 Louisiana Ave, Lutcher, LA 70071 Phone: 225-869-3838 Fax: 225-869-9649 | |
Lutcher Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1731 Lutcher Ave, Lutcher, LA 70071 Phone: 225-869-9890 Fax: 225-869-3822 | |