Premier Pediatrics Of Livingston, LLP
Clinic/Center, Primary Care in Denham Springs, LA. Organization (NPI-2).
NPI number1841978178
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1841978178
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Pediatrics Of Livingston, LLP
- Organization subpart
- No
- Enumeration date
- Jul 7, 2023
- Certification date
- Jul 7, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Premier Pediatrics (Doing Business As)
Practice location
35055 La Highway 16 Ste GDenham Springs, LA 70706-1535
Phone 225-571-5941
Mailing address
35055 La Highway 16 Ste GDenham Springs, LA 70706-1535
Phone 225-571-5941
Authorized official
Jennifer Kepper
Owner/Manager
2255715941
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