East Carroll Parish School District
Specialty details in registry · Lake Providence, LA
At a glance
514 3Rd St, Lake Providence, LA 71254-2904
NPPES record updated Nov 10, 2009. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
514 3Rd StLake Providence, LA 71254-2904
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251K00000X
- Enumeration date
- Nov 10, 2009
- Record updated
- Nov 10, 2009
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251K00000X · Primary
License reported: 1701513 LA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
514 3Rd StLake Providence, LA 71254-2904
- Phone
- (318) 559-2222
Mailing address
514 3RD STLAKE PROVIDENCE, LA 712542904
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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