University Of Louisiana Monroe

NPI 1538375753 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1538375753
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN RAYMOND JOHN
Position PROGRAM DIRECTOR
Phone (318) 324-9450
Fax (318) 324-9450
Practice Location
4604 LINCOLN PARK AVE
MONROE LA, 71202-5919, US
Phone (318) 324-9450
Fax (318) 324-9450
Business Location
4606 LINCLON PRK AVE
MONROE LA, 71201-5919, US
Phone (318) 324-9450
Fax (318) 324-9450
Toxanomy
Taxonomy Code 302R00000X
License State Louisiana
License Number 120530
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According to our database, University Of Louisiana Monroe NPI is 1538375753, taxonomy code is 302R00000X and license number is 120530, license state is located at Louisiana. University Of Louisiana Monroe physically located at 4604 Lincoln Park Ave, Monroe LA, 71202-5919. NPI Number 1033115704 has the healthcare provider type.

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1538375753 NPI number is provided on an as is basis without warranty of any kind. 1538375753 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Louisiana Monroe are for informational purposes only.