SOUTH LOUISIANA PRIMARY CARE LLC

BAKER, LA
NPI1447705074
Entity TypeOrganization
Authorized ContactDUSTIN ALLEN LOGUE
Owner
225-774-0733
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
(Licence: LA  AP06078)
Enumeration Date2016-08-24
Last Update Date2024-07-08
Business Address
SOUTH LOUISIANA PRIMARY CARE LLC
12902 PLANK RD
BAKER, LA 70714-4911
Phone number: 225-218-4816
Mailing Address
SOUTH LOUISIANA PRIMARY CARE LLC
12902 PLANK RD
BAKER, LA 70714-4911
Phone number: 225-774-0733
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