# HEALTHCARE GALLERY LLC

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

## Provider details

- **NPI number:** 1366878076
- **Authorized official:** DR. LEONE ELLIOTT MD (OWNER)
- **Authorized official phone:** (225) 384-5378

## Contact information

- **Practice address:** 3488 BRENTWOOD DR, SUITE 103, BATON ROUGE, LA 70809-1639
- **Practice address phone:** (617) 308-9499
- **Mailing address:** 3488 BRENTWOOD DR, SUITE 103, BATON ROUGE, LA 70809-1639
- **Mailing address phone:** (617) 308-9499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | 025912 | LA | — |

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 04/10/2023