CITYBLOCK MEDICAL PRACTICE LA, LLC

LAFAYETTE, LA
NPI1790447373
Entity TypeOrganization
Authorized ContactDEVON MINERVE
Corporate Counsel
202-321-2528
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2021-10-11
Last Update Date2021-10-11
Business Address
CITYBLOCK MEDICAL PRACTICE LA, LLC
1042 CAMELLIA BLVD
LAFAYETTE, LA 70508-6680
Phone number: 800-336-1100
Mailing Address
CITYBLOCK MEDICAL PRACTICE LA, LLC
495 FLATBUSH AVE STE C5
BROOKLYN, NY 11225-3706
Phone number: 800-336-1100
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