| Evangeline Primary Care, LLC | |
|
503 Jack Miller Rd Ville Platte LA 70586-5607 | |
| (337) 363-7036 | |
| Not Available |
| Full Name | Evangeline Primary Care, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 503 Jack Miller Rd, Ville Platte, Louisiana |
| Authorized Official Name and Position | Jeffery Jake Lafleur (OWNER) |
| Authorized Official Contact | 3373637036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evangeline Primary Care, LLC 503 Jack Miller Rd Ville Platte LA 70586-5607 Ph: (337) 363-7036 | Evangeline Primary Care, LLC 503 Jack Miller Rd Ville Platte LA 70586-5607 Ph: (337) 363-7036 |
| NPI Number | 1487970299 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 04/19/2010 |
| Medicare PECOS PAC ID | 0840321568 |
|---|---|
| Medicare Enrollment ID | O20100624000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487970299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD025579 (Louisiana) | Primary |
| Provider Name | Jeffery J Lafleur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578559407 PECOS PAC ID: 5799718623 Enrollment ID: I20050913000014 |
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