Pediatric Medical Clinic INC
Pediatrics, Adolescent Medicine in La Place, LA. Organization (NPI-2).
NPI number1043376007
StatusActive
Last updated in NPPESJul 16, 2007
Details
- NPI
- 1043376007
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Medical Clinic INC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2006
- Last updated
- Jul 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 015291 | LA | Yes |
Practice location
501 Rue De SanteSuite 9
La Place, LA 70068-5400
Phone 985-651-7444 · Fax 985-651-7449
Mailing address
501 Rue De SanteSuite 9
La Place, LA 70068-5400
Phone 985-651-7444 · Fax 985-651-7449
Authorized official
Oliver Roy Lambert
Physician
9856517444
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