Vincent Lococo Md Apmc | |
4680 Old Brownlee Rd Bossier City LA 71111-6504 | |
(318) 553-5950 | |
(318) 383-6703 |
Full Name | Vincent Lococo Md Apmc |
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Speciality | Family Medicine |
Location | 4680 Old Brownlee Rd, Bossier City, Louisiana |
Authorized Official Name and Position | Vincent B Lococo (OWNER) |
Authorized Official Contact | 3184648961 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vincent Lococo Md Apmc 1435 Highway 2 Plain Dealing LA 71064-4223 Ph: (318) 464-8961 | Vincent Lococo Md Apmc 4680 Old Brownlee Rd Bossier City LA 71111-6504 Ph: (318) 553-5950 |
NPI Number | 1437863081 |
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Provider Enumeration Date | 01/09/2023 |
Last Update Date | 01/09/2023 |
Medicare PECOS PAC ID | 3577936814 |
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Medicare Enrollment ID | O20230307001475 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437863081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Vincent B. Lococo |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093745648 PECOS PAC ID: 3173435955 Enrollment ID: I20050125000944 |
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