# FORESTER LYME TREATMENT CENTER

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

## Provider details

- **NPI number:** 1184179079
- **Authorized official:** MRS. CHERYL BARTEL FORESTER (MEMBER, SECRETARY)
- **Authorized official phone:** (318) 641-0865

## Contact information

- **Practice address:** 2809 DONAHUE FERRY RD, PINEVILLE, LA 71360-4513
- **Practice address phone:** (318) 641-0865
- **Practice address fax:** (318) 640-3290
- **Mailing address:** 2809 DONAHUE FERRY RD, PINEVILLE, LA 71360-4513
- **Mailing address phone:** (318) 641-0865
- **Mailing address fax:** (318) 640-3290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD06029R | LA | Yes |

## Other

- **Enumeration date:** 08/20/2016
- **Last updated:** 08/20/2016