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Coastal Foot Clinic INC

Podiatrist in New Roads, LA. Organization (NPI-2).

NPI number1487829842
StatusActive
Last updated in NPPESMay 29, 2015

Details

NPI
1487829842
Entity type
Organization (NPI-2)
Legal business name
Coastal Foot Clinic INC
Organization subpart
No
Enumeration date
Apr 28, 2008
Last updated
May 29, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristPD165RLAYes

Practice location

230 Roberts Dr
Suite G
New Roads, LA 70760-2661

Phone 225-638-6640 · Fax 225-618-0863

Mailing address

Po Box 575
Livonia, LA 70755-0575

Phone 225-718-5314 · Fax 225-618-0863

Authorized official

Richard Palecki
Owner
2257185314

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