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Organization
ACUTE CARE CLINIC
Active
Organization
ACUTE CARE CLINIC
Active
Other names
Family Doctors of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AYANNA A ALVEREZ (DIRECTOR)
(504) 382-6011
Entity
Organization
Contact information
Practice address
205 HERMITAGE DR, THIBODAUX, LA 70301-2914
(985) 448-0827
(985) 448-0822
Mailing address
1208 CANAL BLVD, THIBODAUX, LA 70301-4511
(985) 448-0827
(985) 448-0822
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
MD06503R
LA
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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