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Organization
COASTAL FOOT CLINIC INC
Active
Organization
COASTAL FOOT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PALECKI DPM (OWNER)
(225) 718-5314
Entity
Organization
Contact information
Practice address
230 ROBERTS DR, SUITE G, NEW ROADS, LA 70760-2661
(225) 638-6640
(225) 618-0863
Mailing address
PO BOX 575, LIVONIA, LA 70755-0575
(225) 718-5314
(225) 618-0863
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD165R
LA
Other
Enumeration date
04/28/2008
Last updated
05/29/2015
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