Lgh Ob-gyn Clinic 2

NPI 1013013408 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1013013408
Enumeration Date 09/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS THOMAS
Position CEO
Phone (318) 255-3223
Fax (318) 255-3181
Practice Location
411 EAST VAUGHN AVE.
SUITE 201
RUSTON LA, 71270, US
Phone (318) 255-3223
Fax (318) 255-3181
Business Location
411 EAST VAUGHN AVE.
SUITE 201
RUSTON LA, 71270, US
Phone (318) 255-3223
Fax (318) 255-3181
Toxanomy
Taxonomy Code 207V00000X
License State Louisiana
License Number MD.201086
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According to our database, Lgh Ob-gyn Clinic 2 NPI is 1013013408, taxonomy code is 207V00000X and license number is MD.201086, license state is located at Louisiana. Lgh Ob-gyn Clinic 2 physically located at 411 East Vaughn Ave., Ruston LA, 71270. NPI Number 1033115704 has the healthcare provider type.

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1013013408 NPI number is provided on an as is basis without warranty of any kind. 1013013408 is maintained by the National Plan & Provider Enumeration System. The contents of Lgh Ob-gyn Clinic 2 are for informational purposes only.