# PELICAN PEDIATRICS, LLC

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

## Provider details

- **NPI number:** 1184053340
- **Authorized official:** MRS. LESLIE COUVILLON BRASHER APRN, CPNP (OWNER, MANAGER)
- **Authorized official phone:** (318) 927-3255

## Contact information

- **Practice address:** 911 W MAIN ST, SUITE C, HOMER, LA 71040-3300
- **Practice address phone:** (318) 927-3255
- **Practice address fax:** (318) 927-3257
- **Mailing address:** 911 W MAIN ST, SUITE C, HOMER, LA 71040-3300
- **Mailing address phone:** (318) 927-3255
- **Mailing address fax:** (318) 927-3257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 2203781980 | LA | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | APO5536 | LA | — |

## Other

- **Enumeration date:** 11/07/2013
- **Last updated:** 10/01/2014