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Organization
AMANDA LACOMB MD PMC
Active
Organization
AMANDA LACOMB MD PMC
Active
Other names
LaComb Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MARIE LACOMB M.D. (OWNER)
(337) 824-8868
Entity
Organization
Contact information
Practice address
1322 ELTON RD, SUITE F, JENNINGS, LA 70546
(337) 824-8868
(337) 824-8829
Mailing address
PO BOX 719, JENNINGS, LA 70546
(337) 824-8868
(337) 824-8829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023135
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446521
—
LA
05
—
1491667
—
LA
Enumeration date
03/20/2007
Last updated
08/29/2011
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