Pediatric Clinic of Northeast La a Medical Corporation
Pediatric Clinic of Northeast La a Medical Corporation provides Pediatrics Physician services in Monroe, Louisiana. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1601 Lamy LnMonroe, LA 71201-3735 Not confirmed with CMS for 18 years — call before visiting
Phone: (318) 387-3453
Fax: (318) 323-9045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1801070164 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frances O'Boyle — President · (318) 325-0483 |
| NPI enumerated | December 21, 2007 |
| Last updated in NPPES | December 28, 2007 |
| Mailing address | 1217 Dean Chapel Rd, West Monroe, LA 71291-7609 |
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