NORTHLAKE PRIMARY CARE

SLIDELL, LA
NPI1063638831
Entity TypeOrganization
Authorized ContactJOSE ANTONIO LEFRAN
Doctor
985-641-6454
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  MD11789R)
Enumeration Date2007-04-18
Last Update Date2020-08-22
Business Address
NORTHLAKE PRIMARY CARE
951 GAUSE BLVD STE 2
SLIDELL, LA 70458-2937
Phone number: 985-641-6454
Mailing Address
NORTHLAKE PRIMARY CARE
951 GAUSE BLVD STE 2
SLIDELL, LA 70458-2937
Phone number: 985-641-6454
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