| The Louisiana Center For Health And Wellness Llc | |
|
5333 Florida Blvd Baton Rouge LA 70806-4130 | |
| (225) 924-4550 | |
| (225) 435-2735 |
| Full Name | The Louisiana Center For Health And Wellness Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5333 Florida Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kristin L Grimes (PRESIDENT) |
| Authorized Official Contact | 2259244550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Louisiana Center For Health And Wellness Llc 4520 S Sherwood Forest Blvd Ste 104-396 Baton Rouge LA 70816-6400 Ph: (225) 924-4550 | The Louisiana Center For Health And Wellness Llc 5333 Florida Blvd Baton Rouge LA 70806-4130 Ph: (225) 924-4550 |
| NPI Number | 1821795337 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 6608232897 |
|---|---|
| Medicare Enrollment ID | O20230512001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821795337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Kristin Diondre Lynch Grimes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558603563 PECOS PAC ID: 2668773375 Enrollment ID: I20180221000734 |
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