| Lubbos Medical Plaza | |
|
201 S Arkansas Street Leesville LA 71446 | |
| (337) 239-7227 | |
| Not Available |
| Full Name | Lubbos Medical Plaza |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 S Arkansas Street, Leesville, Louisiana |
| Authorized Official Name and Position | Brittaney L Hippler (REGIONAL DIRECTOR OF CLINIC OPERATI) |
| Authorized Official Contact | 3183157093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lubbos Medical Plaza 1020 W Fertitta Blvd Leesville LA 71446-4645 | Lubbos Medical Plaza 201 S Arkansas Street Leesville LA 71446 Ph: (337) 239-7227 |
| NPI Number | 1033700539 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 4082963301 |
|---|---|
| Medicare Enrollment ID | O20220216000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033700539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| 207Q00000X | Family Medicine | () | Secondary |
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