BOGALUSA FAMILY PRACTICE

BOGALUSA, LA
NPI1104084839
Entity TypeOrganization
Authorized ContactMELVIN LESTER
Billing Clerk
985-732-1899
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: LA  md107924)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
BOGALUSA FAMILY PRACTICE
433 PLAZA ST
BOGALUSA, LA 70427-3729
Phone number: 985-735-1198
Mailing Address
BOGALUSA FAMILY PRACTICE
PO BOX 700
BOGALUSA, LA 70429-0700
Phone number:
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