Pelican Medical Clinic Llc

NPI 1205230760 - Family Medicine - 207Q00000X

NPI Details
NPI 1205230760
Enumeration Date 10/13/2014
Last Updated 10/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LETHA LETHA
Position OWNER
Phone (504) 355-7453
Fax
Practice Location
7 LAGI ST
LA PLACE LA, 70068-8408, US
Phone (504) 355-7453
Fax
Business Location
54 VETERANS BLVD
DONALDSONVILLE LA, 70346-2450, US
Phone (504) 355-7453
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number RRT 421
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According to our database, Pelican Medical Clinic Llc NPI is 1205230760, taxonomy code is 207Q00000X and license number is RRT 421, license state is located at Louisiana. Pelican Medical Clinic Llc physically located at 7 Lagi St, La Place LA, 70068-8408. NPI Number 1033115704 has the healthcare provider type.

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1205230760 NPI number is provided on an as is basis without warranty of any kind. 1205230760 is maintained by the National Plan & Provider Enumeration System. The contents of Pelican Medical Clinic Llc are for informational purposes only.