# INSULINIC OF GRETNA LLC

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

## Provider details

- **NPI number:** 1063165934
- **Authorized official:** MEGAN MARY SCERBO (OFFICE MANAGER)
- **Authorized official phone:** (337) 254-9999

## Contact information

- **Practice address:** 1500 LAFAYETTE ST STE 141, GRETNA, LA 70053-5758
- **Practice address phone:** (337) 254-9999
- **Practice address fax:** (337) 522-7543
- **Mailing address:** 220 JOHNSTON ST, LAFAYETTE, LA 70501-8059
- **Mailing address phone:** (337) 254-9999
- **Mailing address fax:** (337) 522-7543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/01/2022
- **Last updated:** 06/24/2022