Destrehan Medical Clinic

Specialty details in registry · Destrehan, LA

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At a glance

12604 River Rd, Destrehan, LA 70047-5306

NPPES record updated Jul 21, 2022. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

12604 River Rd
Destrehan, LA 70047-5306
Professional details: NPI, taxonomy & registry record
NPI1790876019
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QP2300X
Enumeration date
Sep 28, 2006
Record updated
Jul 21, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QP2300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12604 River Rd
Destrehan, LA 70047-5306
Phone
(985) 764-0439
Fax
(985) 725-1464
Mailing address
12604 RIVER RD

DESTREHAN, LA 700475306
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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