Renal Services Of Northeast Louisiana A Prof Med Corp

NPI 1164723920 - Internal Medicine - 207RN0300X

NPI Details
NPI 1164723920
Enumeration Date 11/10/2010
Last Updated 11/10/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LARRY THOMAS LARRY
Position PHYSICIAN/OWNER
Phone (318) 325-5435
Fax (318) 325-8852
Practice Location
1908 ROYAL AVE
MONROE LA, 71201-5724, US
Phone (318) 325-5435
Fax (318) 325-8852
Business Location
1908 ROYAL AVE
MONROE LA, 71201-5724, US
Phone (318) 325-5435
Fax (318) 325-8852
Toxanomy
Taxonomy Code 207RN0300X
License State Louisiana
License Number 18516
Remove 1164723920 NPI Number
 

According to our database, Renal Services Of Northeast Louisiana A Prof Med Corp NPI is 1164723920, taxonomy code is 207RN0300X and license number is 18516, license state is located at Louisiana. Renal Services Of Northeast Louisiana A Prof Med Corp physically located at 1908 Royal Ave, Monroe LA, 71201-5724. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1164723920 NPI number is provided on an as is basis without warranty of any kind. 1164723920 is maintained by the National Plan & Provider Enumeration System. The contents of Renal Services Of Northeast Louisiana A Prof Med Corp are for informational purposes only.