GREEN CLINIC LLC

RUSTON, LA
NPI1831178755
Entity TypeOrganization
Authorized ContactLORI S KEEN
CEO
318-251-6304
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies133V00000X Dietitian, Registered
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
204E00000X Oral & Maxillofacial Surgery
207N00000X Dermatology
207R00000X Internal Medicine
207U00000X Nuclear Medicine
207V00000X Obstetrics & Gynecology
207W00000X Ophthalmology
207X00000X Orthopaedic Surgery
207Y00000X Otolaryngology
208000000X Pediatrics
208100000X Physical Medicine & Rehabilitation
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
213E00000X Podiatrist
Enumeration Date2006-01-10
Last Update Date2024-02-22
Business Address
GREEN CLINIC LLC
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
Mailing Address
GREEN CLINIC LLC
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690