| Lmchh Pcp LLC | |
|
1520 Gause Blvd Slidell LA 70458-2208 | |
| (985) 649-7295 | |
| (985) 643-8510 |
| Full Name | Lmchh Pcp LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1520 Gause Blvd, Slidell, Louisiana |
| Authorized Official Name and Position | Glenda P Dobson (VP, CLINICAL SERVICES) |
| Authorized Official Contact | 9856907502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmchh Pcp LLC 64030 Highway 434 Lacombe LA 70445-3456 Ph: (985) 690-7526 | Lmchh Pcp LLC 1520 Gause Blvd Slidell LA 70458-2208 Ph: (985) 649-7295 |
| NPI Number | 1740624139 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740624139 | NPI | - | NPPES |
| 1305774 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1043996 (Louisiana) | Primary |
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