| Timothy J. Donovan, LLC | |
|
103 W University Pkwy Leesville LA 71446-4734 | |
| (337) 239-2600 | |
| (337) 239-2601 |
| Full Name | Timothy J. Donovan, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 103 W University Pkwy, Leesville, Louisiana |
| Authorized Official Name and Position | Timothy J. Donovan (PHYSICIAN) |
| Authorized Official Contact | 3372392600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J. Donovan, LLC 103 W University Pkwy Leesville LA 71446-4734 Ph: (337) 239-2600 | Timothy J. Donovan, LLC 103 W University Pkwy Leesville LA 71446-4734 Ph: (337) 239-2600 |
| NPI Number | 1578018479 |
|---|---|
| Provider Enumeration Date | 08/20/2016 |
| Last Update Date | 08/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578018479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP08929 (Louisiana) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | AP08929 (Louisiana) | Secondary |
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