ICP LOUISIANA ACO BILLING LLC

SHREVEPORT, LA
NPI1043894231
Entity TypeOrganization
Authorized ContactMARGARET S PEMBERTON
Vice President
502-394-2100
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2021-05-12
Last Update Date2025-11-11
Business Address
ICP LOUISIANA ACO BILLING LLC
333 TEXAS ST STE 1300
SHREVEPORT, LA 71101-3783
Phone number: 800-807-6555
Mailing Address
ICP LOUISIANA ACO BILLING LLC
805 N WHITTINGTON PKWY STE 200
LOUISVILLE, KY 40222-7102
Phone number: 800-807-6555
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