# CLHG-LEESVILLE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLHG-LEESVILLE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417608803
- **Legal business name:** CLHG-LEESVILLE
- **Authorized official:** BRITTANEY L HIPPLER (REGIONAL DIRECTOR OF CLINIC OPS)
- **Authorized official phone:** (318) 315-7093

## Contact information

- **Practice address:** 927 VERONE TER, LEESVILLE, LA 71446-4255
- **Practice address phone:** (337) 238-1049
- **Mailing address:** 927 VERONE TER, LEESVILLE, LA 71446-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2022
- **Last updated:** 02/04/2022