Lasalle Kidcare

NPI 1215111448 - Clinic/Center - 261QR1300X

NPI Details
NPI 1215111448
Enumeration Date 12/24/2007
Last Updated 12/24/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name HEATH M HEATH
Position DIRECTOR OF CLINICS
Phone (318) 992-6988
Fax (318) 992-6989
Practice Location
121 NINTH STREET
JENA LA, 71342, US
Phone (318) 992-6988
Fax (318) 992-6989
Business Location
PO BOX 2780
JENA LA, 71342-2780, US
Phone (318) 992-6988
Fax (318) 992-6989
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
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According to our database, Lasalle Kidcare NPI is 1215111448, taxonomy code is 261QR1300X Lasalle Kidcare physically located at 121 Ninth Street, Jena LA, 71342. NPI Number 1033115704 has the healthcare provider type.

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1215111448 NPI number is provided on an as is basis without warranty of any kind. 1215111448 is maintained by the National Plan & Provider Enumeration System. The contents of Lasalle Kidcare are for informational purposes only.