| Lasalle Family Medicine Clinic | |
|
180 Ninth St Jena LA 71342-3900 | |
| (318) 992-6311 | |
| (318) 992-9245 |
| Full Name | Lasalle Family Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 Ninth St, Jena, Louisiana |
| Authorized Official Name and Position | Lana B. Francis (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 3189929150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasalle Family Medicine Clinic P.o. Box 2780 Jena LA 71342 Ph: (318) 992-6311 | Lasalle Family Medicine Clinic 180 Ninth St Jena LA 71342-3900 Ph: (318) 992-6311 |
| NPI Number | 1912173352 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 3971596164 |
|---|---|
| Medicare Enrollment ID | O20080827000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912173352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 231RHC-2 (Louisiana) | Primary |
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