# FAST LANE OF ZACHARY LLC

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

## Provider details

- **NPI number:** 1194041871
- **Authorized official:** LEONE ELLIOTT MD (PHYSICIAN/PARTNER)
- **Authorized official phone:** (225) 570-2618

## Contact information

- **Practice address:** 19900 OLD SCENIC HWY, STE H/I, ZACHARY, LA 70791-7367
- **Practice address phone:** (225) 570-2618
- **Practice address fax:** (225) 570-8539
- **Mailing address:** PO BOX 427, STE H/I, ZACHARY, LA 70791-0427
- **Mailing address phone:** (225) 570-2618
- **Mailing address fax:** (225) 570-8539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2010
- **Last updated:** 07/13/2010