# DEER CREEK IMAGING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013900760
- **Authorized official:** GREGORY D LORD MD (MANAGING DIRECTOR)
- **Authorized official phone:** (337) 238-0167

## Contact information

- **Practice address:** 301 W FERTITTA BLVD STE 1, LEESVILLE, LA 71446-4665
- **Practice address phone:** (337) 392-1363
- **Mailing address:** 301 W FERTITTA BLVD STE 1, LEESVILLE, LA 71446-4665
- **Mailing address phone:** (337) 392-1363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2005
- **Last updated:** 08/22/2020