# B&L MEDICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1225579402
- **Authorized official:** BRIAN ANDREW MONACO MD (MEMBER MANAGER)
- **Authorized official phone:** (631) 495-5683

## Contact information

- **Practice address:** 1800 IRVING PL, SHREVEPORT, LA 71101-4608
- **Practice address phone:** (318) 425-4096
- **Mailing address:** PO BOX 64568, PHOENIX, AZ 85082-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 03/22/2017