| The Primary Care Group Of East Jefferson, Llc | |
|
4315 Houma Blvd Suite 204 Metairie LA 70006-2940 | |
| (504) 454-5396 | |
| (504) 456-8151 |
| Full Name | The Primary Care Group Of East Jefferson, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4315 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Lauren A Santa Ana (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5044545396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Primary Care Group Of East Jefferson, Llc 4420 Conlin St Suite 304 Metairie LA 70006-2167 Ph: (504) 454-5396 | The Primary Care Group Of East Jefferson, Llc 4315 Houma Blvd Suite 204 Metairie LA 70006-2940 Ph: (504) 454-5396 |
| NPI Number | 1588735393 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588735393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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