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Organization
LILY PAD PEDIATRICS, LLC
Active
Organization
LILY PAD PEDIATRICS, LLC
Active
Other names
Lily Pad Pediatrics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE CLARK (BILLING MANAGER)
(337) 942-4453
Entity
Organization
Contact information
Practice address
153 TOWN BOULEVARD, OPELOUSAS, LA 70570
(337) 942-4453
Mailing address
153 TOWN BOULEVARD, OPELOUSAS, LA 70570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/13/2016
Last updated
04/02/2024
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