Green Clinic

NPI 1457330185 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1457330185
Enumeration Date 01/11/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LORA J LORA
Position DIRECTOR OF BUSINESS SERVICES
Phone (318) 251-6216
Fax
Practice Location
1200 S FARMERVILLE ST
RUSTON LA, 71270-5941, US
Phone (318) 251-6216
Fax
Business Location
1200 S FARMERVILLE ST
RUSTON LA, 71270-5941, US
Phone (318) 251-6216
Fax
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Green Clinic NPI is 1457330185, taxonomy code is 291U00000X Green Clinic physically located at 1200 S Farmerville St, Ruston LA, 71270-5941. NPI Number 1033115704 has the healthcare provider type.

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1457330185 NPI number is provided on an as is basis without warranty of any kind. 1457330185 is maintained by the National Plan & Provider Enumeration System. The contents of Green Clinic are for informational purposes only.