Bonnie Lejeune Buller, LLC
Community/Behavioral Health in Ruston, LA. Organization (NPI-2).
NPI number1972938769
StatusActive
Last updated in NPPESSep 11, 2013
Details
- NPI
- 1972938769
- Entity type
- Organization (NPI-2)
- Legal business name
- Bonnie Lejeune Buller, LLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2013
- Last updated
- Sep 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 11837 | LA | Yes |
Practice location
207 N Service Rd EPmb 184
Ruston, LA 71270-2805
Phone 225-663-0205
Mailing address
207 N Service Rd EPmb 184
Ruston, LA 71270-2805
Phone 225-663-0205
Authorized official
Bonnie Lejeune Buller
Owner
2256630205
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