| Pelican Clinic LLC | |
|
948 Cambridge Dr Ste 103b La Place LA 70068-3647 | |
| (985) 652-7717 | |
| (337) 896-6441 |
| Full Name | Pelican Clinic LLC |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 948 Cambridge Dr Ste 103b, La Place, Louisiana |
| Authorized Official Name and Position | Letha Haynes (OWNER) |
| Authorized Official Contact | 9544927150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Clinic LLC 948 Cambridge Dr Ste 103b La Place LA 70068-3647 Ph: (985) 652-7717 | Pelican Clinic LLC 948 Cambridge Dr Ste 103b La Place LA 70068-3647 Ph: (985) 652-7717 |
| NPI Number | 1740553569 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740553569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 27302 (Louisiana) | Primary |
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