| NPI | 1962674713 |
|---|---|
| Doing Business As | LSU CLINICS OF MONROE |
| Entity Type | Organization |
| Authorized Contact | MELANIE H SOTAK Director Of Managed Care 318-675-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 142) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 142) |
| 207R00000X Internal Medicine (Licence: LA 142) | |
| 207V00000X Obstetrics & Gynecology (Licence: LA 142) | |
| 207W00000X Ophthalmology (Licence: LA 142) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 142) | |
| 208000000X Pediatrics (Licence: LA 142) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |