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Organization
IRIZARRY FAMILY PRACTICE, LLC
Active
Organization
IRIZARRY FAMILY PRACTICE, LLC
Active
Other names
Carlos A Irizarry MD
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A IRIZARRY M.D. (PHYSICIAN)
(318) 377-8401
Entity
Organization
Contact information
Practice address
2 MEDICAL PLAZA PL, # 2 MEDICAL PLAZA, MINDEN, LA 71055-3330
(318) 377-8401
(318) 377-8469
Mailing address
2 MEDICAL PLAZA PL, # 2 MEDICAL PLAZA, MINDEN, LA 71055-3330
(318) 377-8401
(318) 377-8469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06856R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1817040
—
LA
05
—
1928275
—
LA
Enumeration date
10/08/2009
Last updated
11/22/2010
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