| Lsahsc Earl K. Long Medical Center | |
|
1401 N Foster Dr Baton Rouge LA 70806-1818 | |
| (225) 987-9013 | |
| Not Available |
| Full Name | Lsahsc Earl K. Long Medical Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1401 N Foster Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Camille Elsbury (EKL MEDICAL STAFF DEPT. MANAGER) |
| Authorized Official Contact | 2253542051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsahsc Earl K. Long Medical Center 17010 Abita Avenue Prairieville LA 70769 Ph: (225) 266-5177 | Lsahsc Earl K. Long Medical Center 1401 N Foster Dr Baton Rouge LA 70806-1818 Ph: (225) 987-9013 |
| NPI Number | 1649327107 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649327107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | DPM.PD0105 (Louisiana) | Primary |
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