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Organization
CRESCENT PHYSICIAN SERVICES, LLC
Active
Organization
CRESCENT PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA C FALK (VP OF CONTRACTING)
(800) 893-9698
Entity
Organization
Contact information
Practice address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106
(800) 893-9698
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(337) 354-1153
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
LA
363A00000X
Physician Assistant
—
LA
363L00000X
Nurse Practitioner
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383531
—
LA
Enumeration date
02/04/2015
Last updated
01/12/2016
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