| NPI | 1104413384 |
|---|---|
| Doing Business As | NORTHEAST LOUISIANA PHYSICIAN HOSPITAL ORGANIZATION |
| Entity Type | Organization |
| Authorized Contact | MONICA LYNN PITTMAN President 318-387-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |