| L & L Medical & Diagnostic Center, Llc | |
|
705 S Morgan Ave Suite B Broussard LA 70518-4951 | |
| (337) 839-2324 | |
| (337) 839-2325 |
| Full Name | L & L Medical & Diagnostic Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 705 S Morgan Ave, Broussard, Louisiana |
| Authorized Official Name and Position | Lynn M. Guidry (OWNER) |
| Authorized Official Contact | 3378392324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L & L Medical & Diagnostic Center, Llc Po Box 1139 Broussard LA 70518-1139 Ph: (337) 839-2324 | L & L Medical & Diagnostic Center, Llc 705 S Morgan Ave Suite B Broussard LA 70518-4951 Ph: (337) 839-2324 |
| NPI Number | 1922162494 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922162494 | NPI | - | NPPES |
| 1682721 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 015417 (Louisiana) | Primary |
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