# NATCHITOCHES URGENT CARE CLINIC

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

## Provider details

- **NPI number:** 1053635987
- **Authorized official:** MRS. LAVORA WILSON APRN (OWNER/FNP)
- **Authorized official phone:** (318) 332-8219

## Contact information

- **Practice address:** 615 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
- **Practice address phone:** (318) 356-5566
- **Practice address fax:** (318) 932-9906
- **Mailing address:** 100 MORGAN LN, NATCHITOCHES, LA 71457-6077
- **Mailing address phone:** (318) 332-2288
- **Mailing address fax:** (318) 932-9906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/22/2010