# BOERSMA CLINIC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Boersma Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104024686
- **Authorized official:** MRS. RACHEL STACK BOERSMA (OWNER)
- **Authorized official phone:** (318) 255-2733

## Contact information

- **Practice address:** 765 S BONNER ST, RUSTON, LA 71270-5801
- **Practice address phone:** (318) 255-2733
- **Practice address fax:** (318) 254-1066
- **Mailing address:** 765 S BONNER ST, RUSTON, LA 71270-5801
- **Mailing address phone:** (318) 255-2733
- **Mailing address fax:** (318) 254-1066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2007
- **Last updated:** 04/20/2008