# AMANDA LACOMB MD PMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LaComb Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538284377
- **Authorized official:** AMANDA MARIE LACOMB M.D. (OWNER)
- **Authorized official phone:** (337) 824-8868

## Contact information

- **Practice address:** 1322 ELTON RD, SUITE F, JENNINGS, LA 70546
- **Practice address phone:** (337) 824-8868
- **Practice address fax:** (337) 824-8829
- **Mailing address:** PO BOX 719, JENNINGS, LA 70546
- **Mailing address phone:** (337) 824-8868
- **Mailing address fax:** (337) 824-8829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 023135 | LA | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1446521 | — | LA |
| 05 | — | 1491667 | — | LA |